Organization
MAKING WAY COUNSELTATION P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK SAWYER KINCHLA PSYD (PRESIDENT)
(978) 604-5561
Entity
Organization
Contact information
Practice address
154 E CENTRAL ST, SUITE 201, NATICK, MA 01760-3644
(978) 604-5561
Mailing address
841 WORCESTER ST, #185, NATICK, MA 01760-2076
(978) 604-5561
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
10081
MA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
10081
MA
103TB0200X
Cognitive & Behavioral Psychologist
10081
MA
103TC0700X
Clinical Psychologist
Primary
10081
MA
103TE1100X
Exercise & Sports Psychologist
10081
MA
103TH0004X
Health Psychologist
10081
MA
103TH0100X
Health Service Psychologist
10081
MA
Other
Enumeration date
03/11/2015
Last updated
08/28/2019
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