Tavilla, Cynthia S.
Tavilla, Cynthia S. is an sole proprietor health care provider with primary practice located at 9 Meriam St . Suite 25, Lexington MA 02420-5300. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Tavilla, Cynthia S. can be contacted via phone (781) 863-5570.Contact Information
Primary practice address
9 Meriam St . Suite 25
Lexington MA 02420-5300
Phone: (781) 863-5570
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 7549 | Massachusetts |
Profile Details
| NPI number | 1104816164 |
|---|---|
| LBN Legal business name | Tavilla, Cynthia S. |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 21st, 2005 |
| Last updated | May 6th, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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