Individual
KATHIE HENNESSY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
127 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5732
(617) 233-3828
Mailing address
127 MT. AUBURN ST., CAMBRIDGE, MA 02476
(617) 233-3828
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7914
MA
Other
Enumeration date
02/07/2007
Last updated
07/08/2007
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