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Dr. Jennie Kuckertz
Clinical Psychologist in Belmont, Massachusetts
NPI 1174937692

Jennie Kuckertz is a Clinical Psychologist based in San Diego, MA and is specialized in Clinical. Jennie Kuckertz practices in Belmont, MA. The NPI Number for Jennie Kuckertz is 1174937692 and holds a License No. (Massachusetts).

The current practice location address for Jennie Kuckertz is 115 Mill St, Belmont, MA and can be reached out via phone at 617-855-2962. You can also correspond with Jennie Kuckertz through the mailing address at 3020 CHILDRENS WAY, SAN DIEGO, CA - 92123-4223 (mailing address contact number: 630-362-3645).

Location: 115 Mill St, Belmont, MA, 92123-4223
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174937692
Provider Name
Jennie Kuckertz
Credential
Provider Entity Type
Individual
Gender
Female
Address
115 Mill St, Belmont, MA, 92123-4223
Phone Number
617-855-2962
Fax Number
Provider Enumeration Date
06/12/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
115 Mill St
City
Belmont
State
Massachusetts
Zip
02478-1064
Phone Number
617-855-2962
Fax Number
person
Provider Business Mailing Address Details
Address
115 Mill St
City
Belmont
State
Massachusetts
Zip
02478-1064
Phone Number
617-855-2962
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
11367 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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