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Individual

DR. JUDITH E KRULEWITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
545 CONCORD AVE, SUITE 20, CAMBRIDGE, MA 02138-1125
(617) 818-2159
Mailing address
4 STONY BROOK RD, ARLINGTON, MA 02476-8019
(617) 818-2159

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
3949-PY
MA
103TA0400X
Addiction (Substance Use Disorder) Psychologist
3949-PY
MA
103TC0700X
Clinical Psychologist
Primary
3949-PY
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
135532000
MAGELLAN BEHAVIORAL HEALT
MA
05
1899309
MA
01
W03932
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/02/2005
Last updated
11/21/2012
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