Individual
DR. BARBARA ANN DIVITTO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
42 WASHINGTON ST, SUITE 100, WELLESLEY, MA 02481
(781) 416-1919
(781) 263-9017
Mailing address
29 CHARLOTTE RD, NEWTON, MA 02459
(617) 527-7154
(617) 928-9284
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4744
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11106003
BCBS
MA
Enumeration date
08/31/2006
Last updated
07/08/2007
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