Search › Massachusetts › 103TB0200X
Kaila Mack, PH.D
NPI 1255677969 · on the registry since 2012 · sole proprietor
Practice
- Address
- 165 Middlesex Ave Ste 1118
Somerville, MA 02145 - Phone
- (617) 934-0219
Registry record
- Primary taxonomy
- 103TB0200X
103TB0200X
- Also registered as
- 103TB0200X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-25
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts