Individual
DR. CHIVIMBISO TAWAYENA KAPUNGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-2378
Mailing address
35 OAK ST, SOMERVILLE, MA 02143-4030
(617) 623-6354
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8854
MA
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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