Individual
DR. CASEY TYLER TAFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
150 S HUNTINGTON AVE, BOSTON VA MEDICAL CENTER (116-B), BOSTON, MA 02130-4817
(857) 364-4344
(857) 364-4501
Mailing address
150 S HUNTINGTON AVE, BOSTON VA MEDICAL CENTER (116-B), BOSTON, MA 02130-4817
(857) 364-4344
(857) 364-4501
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
82433
MA
Other
Enumeration date
09/29/2006
Last updated
07/08/2007
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