Individual
CAROLYNN MALTAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
875 MASSACHUSETTS AVE, SUITE 41, CAMBRIDGE, MA 02139-3067
(617) 497-2124
Mailing address
12 MILLER AVE, CAMBRIDGE, MA 02140-1320
(617) 497-2124
(617) 876-7060
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
1926
MA
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
1926
MA
Other
Enumeration date
01/17/2007
Last updated
09/11/2025
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