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Individual

MS. KAREN J KACZYNSKI

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
9 HOPE AVE, HEADACHE CLINIC, WALTHAM, MA 02453-2741
(617) 355-8104
(617) 730-0199
Mailing address
333 LONGWOOD AVE, 5TH FLOOR, BOSTON, MA 02115-5711
(617) 355-8104
(617) 730-0199

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
103TB0200X
Cognitive & Behavioral Psychologist
8915
MA
103TC0700X
Clinical Psychologist
8915
MA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
8915
MA
103TH0004X
Health Psychologist
8915
MA

Other

Enumeration date
09/26/2008
Last updated
09/26/2008
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