| Divergent Pathways: A Psychological Corporation | |
|
75 Arlington St Ste 500 Boston MA 02116-3986 | |
| (617) 958-6538 | |
| (617) 362-9057 |
| Full Name | Divergent Pathways: A Psychological Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 75 Arlington St Ste 500, Boston, Massachusetts |
| Authorized Official Name and Position | Karissa Burnett (PRESIDENT) |
| Authorized Official Contact | 6179586538 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Divergent Pathways: A Psychological Corporation 75 Arlington St Ste 500 Boston MA 02116-3986 Ph: () - | Divergent Pathways: A Psychological Corporation 75 Arlington St Ste 500 Boston MA 02116-3986 Ph: (617) 958-6538 |
| NPI Number | 1033842547 |
|---|---|
| Provider Enumeration Date | 07/03/2022 |
| Last Update Date | 07/03/2022 |
| Certification Date | 07/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033842547 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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