Individual
MS. YUDELKA KOTJAHASAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
33 SCHOOL ST, SPRINGFIELD, MA 01105-1301
(413) 846-4300
(413) 732-0429
Mailing address
223 EMERSON ST, SPRINGFIELD, MA 01118-1735
(413) 846-4300
(413) 732-0429
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
NONE
MA
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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