Individual
DR. CHRISTINE RAE VAVAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
666 BLISS RD, SUITE 1, LONGMEADOW, MA 01106-1562
(413) 567-4515
(413) 567-4515
Mailing address
666 BLISS RD, SUITE 1, LONGMEADOW, MA 01106-1562
(413) 567-4515
(413) 567-4515
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6667
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1858645
—
MA
01
—
W06188
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/20/2006
Last updated
07/08/2007
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