Katherine Tracy Munn in Somerville - Psychologist
Katherine Tracy Munn - NPI 1295875011
Katherine Tracy Munn is a Psychologist in Somerville, Massachusetts. Katherine Tracy Munn practices all healthcare services and medical treatments related to Psychologist. The NPI Number for Katherine Tracy Munn is 1295875011. The last update date is 2007-07-08.
Katherine Tracy Munn's current location address is 1 Fitchburg St, Somerville, Massachusetts. You can contact this provider via phone number 6177641886. The mailing address for Katherine Tracy Munn is 1 Fitchburg St, Somerville, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Katherine Tracy Munn |
|---|---|
| Address | 1 Fitchburg St, Somerville, Massachusetts |
| Phone Number | 6177641886 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1295875011 |
|---|---|
| Provider Enumeration Date | 2007-02-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1 Fitchburg St |
|---|---|
| City | Somerville |
| State | Massachusetts (MA) |
| Post Code | 21432136 |
| Phone Number | 6177641886 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Psychologist |
|---|---|
| Taxonomy | 103T00000X |
| Licence No | 6007 |
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Definition: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and proce |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W04826 | MA | BCBSMA PROVIDER ID |
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What is the unique identifier code issued to Katherine Tracy Munn by the Centers for Medicare & Medicaid Services?
The Katherine Tracy Munn has been assigned the NPI (National Provider Identifier) 1295875011. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Katherine Tracy Munn?
The Katherine Tracy Munn is physically situated at 1 Fitchburg St, in the city of Somerville, state of MA, with the postal code 21432136.
What is Katherine Tracy Munn's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Katherine Tracy Munn is Psychologist, and the corresponding taxonomy classification code for this specialized field is 103T00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1295875011 to Katherine Tracy Munn?
The Katherine Tracy Munn received its 1295875011 assignment from the Centers for Medicare & Medicaid Services on 2007-02-08.
As of what date was the information pertaining to Katherine Tracy Munn, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Katherine Tracy Munn, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
NPI Number: 1912900226
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