Individual
THEODORE ANTHONY POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
240 CONCORD AVE, CAMBRIDGE, MA 02138-1337
(617) 876-6882
Mailing address
240 CONCORD AVE, CAMBRIDGE, MA 02138-1337
(617) 876-6882
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4225
MA
Other
Enumeration date
05/04/2007
Last updated
07/08/2007
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