Individual
ROBYN KERVICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
790 COLLEGE PKWY, COLCHESTER, VT 05446-3007
(802) 847-3634
Mailing address
160 COMMONWEALTH AVENUE, SUITE U3, BOSTON, MA 02116
(617) 259-1895
(617) 259-1899
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
048-0134257
VT
103G00000X
Clinical Neuropsychologist
8520
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06450
BLUE CROSS PROVIDER #
MA
Enumeration date
05/30/2007
Last updated
09/19/2024
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