Kazakov, Gloria-Lee

Kazakov, Gloria-Lee is an individual health care provider with primary practice located at 228 Billerica Rd , Chelmsford MA 01824-3604. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kazakov, Gloria-Lee can be contacted via phone (978) 250-6240.

Contact Information

Primary practice address
228 Billerica Rd Chelmsford MA 01824-3604
Phone: (978) 250-6240
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X 9330 Massachusetts

Profile Details

NPI number 1730329160
LBN Legal business name Kazakov, Gloria-Lee
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 25th, 2009
Last updated Mar 29th, 2023 - about 2 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.

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