Individual
DR. CHRISTINE KATHLEEN NEVINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
317 N MAIN ST, NATICK, MA 01760-1115
(508) 650-1802
(508) 650-1802
Mailing address
37 STONEBRIDGE RD, WAYLAND, MA 01778-3024
(508) 653-6433
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4521
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03000509
HEALTH CARE PROVIDER #
MA
01
—
4521
PSYCHOLOGIST LICENSE #
MA
Enumeration date
09/20/2006
Last updated
03/05/2012
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