Munn, Katherine Tracy
Munn, Katherine Tracy is an individual health care provider with primary practice located at 1 Fitchburg St #C410, Somerville MA 02143-2136. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Munn, Katherine Tracy can be contacted via phone (617) 764-1886.Contact Information
Primary practice address
1 Fitchburg St #C410
Somerville MA 02143-2136
Phone: (617) 764-1886
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6007 | Massachusetts |
Profile Details
| NPI number | 1295875011 |
|---|---|
| LBN Legal business name | Munn, Katherine Tracy |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 8th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295875011 | NPPES |
| Massachusetts | Other | W04826 | BCBSMA PROVIDER ID |
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