Individual
DR. LINDA M KACZOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, MS
Contact information
Practice address
167 WASHINGTON ST, NORWELL, MA 02061-1797
(781) 854-2826
Mailing address
167 WASHINGTON ST, NORWELL, MA 02061-1797
(781) 854-2826
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
6175
MA
103TH0100X
Health Service Psychologist
Primary
6175
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1992025506
AETNA
MA
01
—
6100969
EVERCARE PROVIDER NUMBER
MA
01
—
814620000
MAGELLAN PROVIDER NUMBER
MA
01
—
W04975
BCBS PROVIDER NUMBER
MA
Enumeration date
10/16/2006
Last updated
03/28/2023
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