Healthcare Provider Details

I. General information

NPI: 1417353061
Provider Name (Legal Business Name): CAROLINE FRANCES KREHBIEL PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/10/2014
Last Update Date: 12/07/2023
Certification Date: 12/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

761 WORCESTER RD
FRAMINGHAM MA
01701-5251
US

IV. Provider business mailing address

761 WORCESTER RD
FRAMINGHAM MA
01701-5251
US

V. Phone/Fax

Practice location:
  • Phone: 508-460-3190
  • Fax: 508-460-3279
Mailing address:
  • Phone: 508-460-3190
  • Fax: 508-460-3279

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number10598
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: