Organization
KRISTIN PENZA, PHD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTIN PENZA PH.D. (OWNER)
(781) 347-4714
Entity
Organization
Contact information
Practice address
80 WASHINGTON SQUARE, SUITE C-17, NORWELL, MA 02061
(781) 347-4714
Mailing address
80 WASHINGTON SQUARE, SUITE C-17, NORWELL, MA 02061
(781) 347-4714
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8592
MA
Other
Enumeration date
08/25/2010
Last updated
08/25/2010
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