Individual
DR. CYNTHIA S. TAVILLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9 MERIAM ST, . SUITE 25, LEXINGTON, MA 02420-5300
(781) 863-5570
Mailing address
9 MERIAM ST, . SUITE 25, LEXINGTON, MA 02420-5300
(781) 863-5570
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7549
MA
Other
Enumeration date
10/21/2005
Last updated
05/06/2011
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