Individual
ANDREA L PIATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
321 COLUMBUS AVE STE 3, BOSTON, MA 02116-5168
(617) 424-0765
Mailing address
321 COLUMBUS AVE STE 3, BOSTON, MA 02116-5168
(617) 424-0765
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
7527
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06031
BCBS OF MA PROVIDER #
MA
Enumeration date
05/30/2007
Last updated
07/08/2007
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