Individual
MR. JESSE DONALD KOSIBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1075 WASHINGTON ST, NEWTON, MA 02465-2185
(508) 876-7202
Mailing address
1075 WASHINGTON ST, NEWTON, MA 02465-2185
(508) 876-7202
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11743
MA
Other
Enumeration date
06/21/2019
Last updated
02/27/2024
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