Individual
CAROLYN ANNE RIEDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
106 WINTHROP ST, CAMBRIDGE, MA 02138-4930
(617) 855-3642
(617) 491-3970
Mailing address
106 WINTHROP ST, CAMBRIDGE, MA 02138-4930
(617) 855-3642
(617) 491-3970
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4409
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W04241
BCBS
MA
Enumeration date
05/26/2006
Last updated
07/01/2013
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