Individual
DR. KATHLEEN SHAHROKHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3 WOODLAND RD STE 200, STONEHAM, MA 02180-1710
(781) 662-9001
Mailing address
16 GROVE ST, MEDFORD, MA 02155
(781) 483-2113
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
3812
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0524409
—
MA
Enumeration date
01/24/2007
Last updated
07/29/2016
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