Individual
KIMBERLY BARANOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-3100
Mailing address
115 MILL ST, BELMONT, MA 02478-1064
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
021374-1
NY
103TC1900X
Counseling Psychologist
Primary
021374-1
NY
Other
Enumeration date
04/11/2016
Last updated
09/16/2024
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