Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103G00000X | Clinical Psychologist | 6831 | MA |
N | 103TC0700X | Clinical Psychologist | 6831 | MA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 6831 | MA |
NPI | 1104977347 |
---|---|
Provider Name | Dr. Karen J Seligsohn |
First Address | Milton, MA 02186-1104 |
Second Address | Boston, MA 02115-5724 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 08/07/2007 |