Provider Demographics
NPI:1124356357
Name:BOCK, KATE FRIEDMAN (BS)
Entity Type:Individual
Prefix:MS
First Name:KATE
Middle Name:FRIEDMAN
Last Name:BOCK
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:59 DUDLEY ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02140-2419
Mailing Address - Country:US
Mailing Address - Phone:617-816-8524
Mailing Address - Fax:
Practice Address - Street 1:59 DUDLEY ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02140-2419
Practice Address - Country:US
Practice Address - Phone:617-816-8524
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-30
Last Update Date:2009-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker