Individual
KAREN WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
100 CENTURY DR, WORCESTER, MA 01606
(508) 762-5400
(508) 762-5410
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7747
MA
Other
Enumeration date
05/22/2006
Last updated
11/21/2018
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