| Kdm Psychotherapy Llc | |
|
17 Kristin Rd Plymouth MA 02360-4940 | |
| (617) 955-6358 | |
| (617) 890-6848 |
| Full Name | Kdm Psychotherapy Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 17 Kristin Rd, Plymouth, Massachusetts |
| Authorized Official Name and Position | Katherine Difillippo Montague (OWNER) |
| Authorized Official Contact | 6179556358 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kdm Psychotherapy Llc 17 Kristin Rd Plymouth MA 02360-4940 Ph: (617) 955-6358 | Kdm Psychotherapy Llc 17 Kristin Rd Plymouth MA 02360-4940 Ph: (617) 955-6358 |
| NPI Number | 1225800527 |
|---|---|
| Provider Enumeration Date | 10/30/2023 |
| Last Update Date | 10/30/2023 |
| Certification Date | 10/30/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225800527 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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