Individual
DR. TAYLOR L ANDROMIDAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
10 OVERLOOK RIDGE DR UNIT 537, MALDEN, MA 02148-4768
(757) 560-7773
Mailing address
10 OVERLOOK RIDGE DR UNIT 537, MALDEN, MA 02148-4768
(757) 560-7773
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10396
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W0785)
BLUE CROSS BLUE SHIELD
MA
Enumeration date
09/14/2015
Last updated
04/02/2020
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