Provider Demographics
NPI:1457466088
Name:KRISS, MARGARET R (PHD)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:R
Last Name:KRISS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:10 LANGLEY ROAD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEWTON CTR
Mailing Address - State:MA
Mailing Address - Zip Code:02459-1972
Mailing Address - Country:US
Mailing Address - Phone:781-235-3374
Mailing Address - Fax:617-332-7863
Practice Address - Street 1:10 LANGLEY ROAD
Practice Address - Street 2:SUITE 200
Practice Address - City:NEWTON CTR
Practice Address - State:MA
Practice Address - Zip Code:02459-1972
Practice Address - Country:US
Practice Address - Phone:781-235-3374
Practice Address - Fax:617-332-7863
Is Sole Proprietor?:No
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA4489103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW04355OtherBLUE CROSS BLUE SHIELD