Organization
MENTAL FITNESS AND PSYCHOTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN HAYWOOD JENKINS PSY.D (FOUNDER)
(617) 419-0643
Entity
Organization
Contact information
Practice address
1318 BEACON ST, SUITE 9, BROOKLINE, MA 02446-3704
(617) 419-0643
Mailing address
108 FULTON ST, UNIT 1, BOSTON, MA 02109-1422
(508) 241-2878
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10031
MA
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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