Individual
MARIA T. DAVERSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
12 INMAN ST, CAMBRIDGE, MA 02139-2423
(617) 864-5434
(617) 576-8685
Mailing address
12 INMAN ST, CAMBRIDGE, MA 02139-2423
(617) 864-5434
(617) 576-8685
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
9149
MA
Other
Enumeration date
03/24/2010
Last updated
03/24/2010
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