Individual
KATHARINE SMIDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
61 SPRINGS RD, BEDFORD, MA 01730
(857) 364-3708
Mailing address
51 ALLSTON ST APT 2, MEDFORD, MA 02155-3603
(978) 697-7622
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
10829
MA
Other
Enumeration date
06/13/2018
Last updated
06/13/2018
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