Individual
DR. CYNTHIA MEDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD APRN PSYCHIATRIC
Contact information
Practice address
529 PEARL ST, BROCKTON, MA 02301-2825
(508) 580-2211
(508) 427-1772
Mailing address
529 PEARL ST, BROCKTON, MA 02301-2825
(508) 580-2211
(508) 427-1772
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
152784
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN0824
BLUE SHIELD
MA
Enumeration date
10/04/2006
Last updated
07/08/2007
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