Individual
JACLYN KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
150 S HUNTINGTON AVE # 116B-4, BOSTON, MA 02130-4817
(857) 364-4417
Mailing address
150 S HUNTINGTON AVE # 116B-4, BOSTON, MA 02130-4817
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10000929
MA
Other
Enumeration date
03/13/2024
Last updated
11/25/2024
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