Individual
DR. CYNTHIA WILSON MOORE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
55 FRUIT ST, YAW 6900, BOSTON, MA 02114-2621
(617) 724-5001
(617) 726-5567
Mailing address
PO BOX 9142, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7385
MA
Other
Enumeration date
10/25/2005
Last updated
07/08/2007
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