Individual
ANGELA TAVEIRA-DICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-3415
Mailing address
16 ISLAND HILL AVE, APT 311, MELROSE, MA 02176-6139
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810005004
VA
Other
Enumeration date
06/12/2014
Last updated
07/21/2014
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