Individual
DR. KATHRYN PORTNOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED.D.
Contact information
Practice address
71 POWDER MILL RD, MAYNARD, MA 01754-1410
(781) 641-3089
Mailing address
71 POWDER MILL RD, MAYNARD, MA 01754-1410
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY8188
MA
Other
Enumeration date
05/21/2018
Last updated
05/21/2018
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