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Individual

THEODORE PAUL CROSS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
4 MILITIA DR, LEXINGTON, MA 02421-4737
(781) 640-4521
Mailing address
60 MAYNARD ST, ARLINGTON, MA 02474-2318
(781) 640-4532

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4645
MA
103TC2200X
Clinical Child & Adolescent Psychologist
4645
MA

Other

Enumeration date
12/29/2008
Last updated
12/29/2008
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