Jongeneelen, Kerrie
Jongeneelen, Kerrie is an sole proprietor health care provider with primary practice located at 19 Muzzey St Ste 202A , Lexington MA 02421-5211. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Jongeneelen, Kerrie can be contacted via phone (617) 372-5653.Contact Information
Primary practice address
19 Muzzey St Ste 202A
Lexington MA 02421-5211
Phone: (617) 372-5653
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 10646 | Massachusetts |
Profile Details
| NPI number | 1093966624 |
|---|---|
| LBN Legal business name | Jongeneelen, Kerrie |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 1st, 2008 |
| Last updated | Feb 5th, 2020 - about 5 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 | 1093966624 | NPPES |
| Massachusetts | Other | 1301071 | GROUP # |
Popular Providers
-
Coffman, Hugh
76 Bedford St Ste 17 , Lexington MA 02420-4640 -
Campbell, Moselle
81 Hartwell Ave Ste 310 , Lexington MA 02421-3160 -
Gerson, Amy Ruth
21A Muzzey St , Lexington MA 02421-5202 -
Hartnett, Emily I
1 Maguire Rd Lurie Center, Lexington MA 02421-3114 -
Manning, Margaret Mary
76 Bedford St Suite 12, Lexington MA 02420-4646 -
Goldin, Rachel
1 Maguire Rd , Lexington MA 02421 -
Heibeck, Tracy H
46 Meriam St , Lexington MA 02420-3620 -
Rossman, Howard
3 Wallis Ct Ste 8 , Lexington MA 02421-5400