Individual
DR. KATHRYN B KOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
29 COTTAGE AVE, SUITE 12, QUINCY, MA 02169-5213
(617) 773-1073
(617) 232-2601
Mailing address
29 COTTAGE AVE, SUITE 12, QUINCY, MA 02169-5213
(617) 773-1073
(617) 232-2601
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
3678
MA
103TC0700X
Clinical Psychologist
Primary
3678
MA
Other
Enumeration date
07/15/2007
Last updated
07/15/2007
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