Individual
CYNTHIA CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
850 HARRISON AVE, DOWLING 9, BOSTON, MA 02118-4001
(617) 414-4288
(617) 414-8542
Mailing address
850 HARRISON AVE, DOWLING 9, BOSTON, MA 02118-4001
(617) 414-4288
(617) 414-8542
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
2156
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0506222
—
MA
Enumeration date
07/27/2006
Last updated
07/08/2007
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