Individual
CAROLINE AVITABILE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
139 CENTRAL AVE, LYNN, MA 01901-1012
(781) 309-6081
Mailing address
139 CENTRAL AVE, LYNN, MA 01901-1012
(781) 309-6081
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10534
MA
103TF0200X
Forensic Psychologist
10534
MA
Other
Enumeration date
07/21/2015
Last updated
06/17/2024
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