Individual
CYNTHIA ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN,MS,CS
Contact information
Practice address
992 GREAT PLAIN AVE, SUITE 21, NEEDHAM, MA 02492-2561
(781) 455-6223
(781) 444-0905
Mailing address
992 GREAT PLAIN AVE, SUITE 21, NEEDHAM, MA 02492-2561
(781) 455-6223
(781) 444-0905
Taxonomy
Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
149569
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
401361
TUFTS
MA
01
—
PN0207
BCBS
MA
Enumeration date
01/31/2007
Last updated
08/20/2013
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