Individual provider · Type 1 NPI

Jennie Kuckertz

Clinical Psychologist · Belmont, MA

NPI number 1174937692 Active

Practice location

115 Mill St
Belmont, MA 02478-1064

Mailing address

3020 Childrens Way, Mc 5018
San Diego, CA 92123-4223

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Clinical Psychologist Primary 103TC0700X11367 (MA)

Clinical Psychologist: 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 discip…

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About NPI 1174937692

Jennie Kuckertz's National Provider Identifier is 1174937692, issued on Jun 12, 2014. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Belmont, MA. The record was last updated on Oct 28, 2020.