Individual
DR. CECILIA PROVVEDINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
401 MAIN ST, BOLTON, MA 01740-1147
(978) 558-9728
Mailing address
401 MAIN ST, BOLTON, MA 01740-1147
(978) 558-9728
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11896
MA
Other
Enumeration date
08/23/2016
Last updated
09/01/2022
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