Individual
TIA M RIVERA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
895 BLUE HILL AVE, DORCHESTER, MA 02124-2902
(617) 822-7129
Mailing address
59 BROADWAY APT 3, CHELSEA, MA 02150-2679
(347) 530-8459
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
—
—
Other
Enumeration date
08/24/2020
Last updated
08/24/2020
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