Individual
GENEVA KAY JONATHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 726-2000
Mailing address
313 W WOLF POINT PLZ UNIT 5505, CHICAGO, IL 60654-8916
(413) 301-4651
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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