Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Jennie Kuckertz

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174937692

Dr. Jennie Kuckertz is a Student in an Organized Health Care Education/Training Program in Belmont, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2014.

Licensed in
MA
In the registry since
2014
Specialties on file
2

Practice location Address checks out

115 Mill St
Belmont, MA 02478-1064
Phone: (617) 855-2962
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Psychologist (primary) Taxonomy 103TC0700X · Licence 11367 (MA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174937692
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJune 12, 2014
Last updated in NPPESOctober 28, 2020
Certification dateOctober 28, 2020

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