Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 6273 | MA |
NPI | 1003301607 |
---|---|
Provider Name | Dr. Katherine Ann Barone |
First Address | Randolph, MA 02368-3639 |
Second Address | Randolph, MA 02368-3639 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2018 |
Last Update Date | 26/06/2018 |