Individual
DR. TANYA M CHILDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TANYA CHILDS, PSYD
Contact information
Practice address
12 JONES RD, WESTON, MA 02493-1549
(781) 894-6644
Mailing address
12 JONES RD, WESTON, MA 02493-1549
(781) 894-6644
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4307
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4307
LICD PSYCHOLOGY PROVIDER
MA
01
—
461
MARRIAGE & FAMILY THERAPI
MA
Enumeration date
12/07/2006
Last updated
07/08/2007
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