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Kenyatta Etchison
Health Service Psychologist in Boston, Massachusetts
NPI 1053516328

Kenyatta Etchison is a Health Service Psychologist based in Quincy, MA and is specialized in Health Service. Kenyatta Etchison practices in Boston, MA. The NPI Number for Kenyatta Etchison is 1053516328 and holds a License No. (Massachusetts).

The current practice location address for Kenyatta Etchison is 85 E Newton St, Boston, MA and can be reached out via phone at 617-414-4646.

Location: 85 E Newton St, Boston, MA, 02169-4151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053516328
Provider Name
Kenyatta Etchison
Credential
Provider Entity Type
Individual
Gender
Female
Address
85 E Newton St, Boston, MA, 02169-4151
Phone Number
617-414-4646
Fax Number
Provider Enumeration Date
06/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
85 E Newton St
City
Boston
State
Massachusetts
Zip
02118-2340
Phone Number
617-414-4646
Fax Number
person
Provider Business Mailing Address Details
Address
85 E Newton St
City
Boston
State
Massachusetts
Zip
02118-2340
Phone Number
617-414-4646
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
()
Definition
A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).
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