Individual
DR. ROBERT MICHAEL CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D
Contact information
Practice address
120 GARDEN ST, CAMBRIDGE, MA 02138-6723
(617) 354-1614
Mailing address
120 GARDEN ST, CAMBRIDGE, MA 02138-6723
(617) 354-1614
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7857
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06199
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/10/2007
Last updated
07/08/2007
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