Kneen, Judith
Kneen, Judith is an sole proprietor health care provider with primary practice located at 22 Mount Auburn St Ofrice 8, Watertown MA 02472-3992. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kneen, Judith can be contacted via phone (617) 924-2211.Contact Information
Primary practice address
22 Mount Auburn St Ofrice 8
Watertown MA 02472-3992
Phone: (617) 924-2211
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 104138 | Massachusetts |
Profile Details
NPI number | 1164587648 |
---|---|
LBN Legal business name | Kneen, Judith |
Credentials | LICSW |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 26th, 2006 |
Last updated | Jul 8th, 2007 - about 17 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 | 1164587648 | NPPES |
New Hampshire | MEDICAID | 30421689 |
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