Individual
DR. EMILY A TAVANESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
269 UNION ST, LYNN, MA 01901-1314
(781) 596-2502
Mailing address
269 UNION ST, LYNN, MA 01901-1314
(781) 596-2502
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11336
MA
Other
Enumeration date
10/05/2015
Last updated
09/30/2020
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