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Individual

DR. CYNTHIA MARIE MITTELMEIER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
240 CONCORD AVENUE, SUITE 2, CAMBRIDGE, MA 02138
(617) 876-1246
(617) 876-1246
Mailing address
240 CONCORD AVENUE, SUITE 2, CAMBRIDGE, MA 02138
(617) 876-1246
(617) 876-1246

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
MA4906
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1019871
BEACON HEALTH STRATEGIES
MA
01
BCBSMAW04651
BCBS
MA
Enumeration date
04/17/2007
Last updated
07/08/2007
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