Organization
BOSTON TRAUMA THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA KNESTEL (LICENSED PSYCHOLOGIST)
(617) 420-5258
Entity
Organization
Contact information
Practice address
224 CLARENDON ST STE 51, BOSTON, MA 02116-3793
(617) 420-5258
Mailing address
PO BOX 278, MALDEN, MA 02148-0003
(617) 420-5258
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/18/2019
Last updated
09/07/2022
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