Individual
DR. CAROLYN KUNIKO CASSILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
151 MERRIMAC ST, BOSTON, MA 02114-4714
(617) 726-2219
Mailing address
151 MERRIMAC ST, BOSTON, MA 02114-4714
(617) 726-2219
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
04/29/2021
Last updated
10/04/2021
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