| NPI | 1497305312 |
|---|---|
| Former Legal Business Name | KRISTEN BETTENCOURT, PSYD |
| Entity Type | Organization |
| Authorized Contact | KRISTEN BETTENCOURT Psychologist 617-684-5153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2024-01-18 |