Individual
MISS CAITLIN MARIA NEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
115 MILL ST, BELMONT, MA 02478-1064
(617) 855-2931
Mailing address
115 MILL STREET, BELMONT, MA 02478
(617) 855-2931
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
10804
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/30/2013
Last updated
04/17/2018
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