Individual
DR. TANYA DIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
300 LONGWOOD AVE, DEPARTMENT OF PSYCHIATRY, FEGAN 8, BOSTON, MA 02115-5724
(617) 355-7637
(617) 730-0319
Mailing address
300 LONGWOOD AVE, DEPARTMENT OF PSYCHIATRY, FEGAN 8, BOSTON, MA 02115-5724
(617) 355-7637
(617) 730-0319
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
8823
MA
Other
Enumeration date
03/04/2008
Last updated
03/04/2008
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