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Mindy S Kopolow Psyd Pa
Clinical Psychologist in Woburn, Massachusetts
NPI 1073633327

Mindy S Kopolow Psyd Pa is a Clinical Psychologist based in Woburn, MA and is specialized in Clinical. Mindy S Kopolow Psyd Pa practices in Woburn, MA. The NPI Number for Mindy S Kopolow Psyd Pa is 1073633327 and holds a License No. 851 (Massachusetts).

The current practice location address for Mindy S Kopolow Psyd Pa is 400 W Cummings Park, Woburn, MA and can be reached out via phone at 617-972-5055 and via fax at 617-972-5011.

Location: 400 W Cummings Park, Woburn, MA, 01801-6519
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073633327
Provider Name
Mindy S Kopolow Psyd Pa
Credential
Provider Entity Type
Organization
Address
400 W Cummings Park, Woburn, MA, 01801-6519
Phone Number
617-972-5055
Fax Number
617-972-5011
Provider Enumeration Date
03/30/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
54439 01 FL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
400 W Cummings Park
City
Woburn
State
Massachusetts
Zip
01801-6519
Phone Number
617-972-5055
Fax Number
617-972-5011
person
Provider Business Mailing Address Details
Address
400 W Cummings Park
City
Woburn
State
Massachusetts
Zip
01801-6519
Phone Number
617-972-5055
Fax Number
617-972-5011
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
PY5819 (Florida)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
851 (Massachusetts)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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