Individual
DR. KENNETH ALLEN CHASE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
7 COURT ST, ARLINGTON, MA 02476-4803
(781) 483-3366
Mailing address
7 COURT ST, ARLINGTON, MA 02476-4803
(781) 483-3366
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7801
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70010000W06042
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/12/2006
Last updated
07/12/2007
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