Unknown Individual – Clinical Child & Adolescent Psychologist, NPI 1720135379
Clinical Child & Adolescent Psychologist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
61, Dudley Street, North Cambridge, Cambridge, Middlesex County, Massachusetts, 02140, United States
CAMBRIDGE, MA 021402419
Phone: (617) 868-9044
Type: Mailing
51, Kondazian Street, Watertown, Middlesex County, Massachusetts, 02135, United States
WATERTOWN, MA 024722830
Phone: (617) 868-9044
Type: Location
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 02140)
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