| Coastal Psychological Center, Llc. | |
| 
					36 Woburn St Ste 6 Reading MA 01867-2903  | |
| (978) 276-9622 | |
| Not Available | 
| Full Name | Coastal Psychological Center, Llc. | 
|---|---|
| Speciality | Clinical Neuropsychologist | 
| Location | 36 Woburn St Ste 6, Reading, Massachusetts | 
| Authorized Official Name and Position | Kelley Knoch-kabarwal (NEUROPSYCHOLOGIST) | 
| Authorized Official Contact | 9782769622 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Coastal Psychological Center, Llc. 36 Woburn St Ste 6 Reading MA 01867-2903 Ph: () -  | Coastal Psychological Center, Llc. 36 Woburn St Ste 6 Reading MA 01867-2903 Ph: (978) 276-9622  | 
| NPI Number | 1407330509 | 
|---|---|
| Provider Enumeration Date | 09/24/2018 | 
| Last Update Date | 09/24/2018 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407330509 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary | 
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