Individual
JACK HOLLEMBAEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 TOWNSEND ST, BOSTON, MA 02121-1223
(617) 635-9957
Mailing address
82 CEDAR ST APT B, BOSTON, MA 02119-1431
Taxonomy
Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
Primary
—
—
Other
Enumeration date
05/21/2025
Last updated
05/21/2025
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