Individual
ANITA J AVAKIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 ADMINISTRATION RD # 2324, BRIDGEWATER, MA 02324-3230
(508) 279-4500
Mailing address
74 CANNON FORGE DR # 2035, FOXBOROUGH, MA 02035-5217
(317) 294-4245
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10828
MA
Other
Enumeration date
02/04/2021
Last updated
02/04/2021
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