Individual
DR. BRENDA J KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
78 BURNCOAT STREET, WORCESTER, MA 01605
(508) 471-1765
Mailing address
298 N MAIN ST UNIT 417, NORTH UXBRIDGE, MA 01538-0620
(508) 471-1765
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10249
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7157
LICENSE
MA
Enumeration date
09/23/2009
Last updated
08/11/2020
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