Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | 7312 | MA |
N | 103T00000X | Psychologist | 7312 | MA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 7312 | MA |
N | 103G00000X | Clinical Psychologist | 7312 | MA |
N | 103TC0700X | Clinical Psychologist | 7312 | MA |
N | 103TC1900X | Counseling Psychologist | 7312 | MA |
N | 103TF0000X | Family Psychologist | 7312 | MA |
N | 103TH0100X | Health Service | 7312 | MA |
N | 103TP2701X | Group Psychotherapist | 7312 | MA |
NPI | 1346296381 |
---|---|
Provider Name | Dr. Tara Mckee Cousineau |
First Address | Milton, MA 02186-2313 |
Second Address | Waltham, MA 02451-1100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/05/2006 |
Last Update Date | 08/07/2007 |