Organization
REBECCA D. FORKNER, PH.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REBECCA FORKNER PH.D. (OWNER)
(617) 320-1553
Entity
Organization
Contact information
Practice address
16 DURHAM ST, BOSTON, MA 02115-5301
(617) 320-1553
Mailing address
16 DURHAM ST, BOSTON, MA 02115-5301
(617) 320-1553
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/22/2021
Last updated
11/22/2021
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