Individual
DIYA KALLIVAYALIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
VICTIMS OF VIOLENCE PROGRAM, 26 CENTRAL STREET, SOMERVILLE, MA 02143
(617) 575-5208
Mailing address
3 PORTSMOUTH STREET, #3, CAMBRIDGE, MA 02141
(646) 312-9013
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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