Maria T. Daversa, PH. D.

NPI #1134443823 in Cambridge, Massachusetts

Provider Information

NPI Number: 1134443823
Entity Type: Individual
Name: Maria T. Daversa, PH. D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PH. D.
Enumeration Date: Mar 24, 2010
Last Updated: Mar 24, 2010

Practice Location

Address: 12 INMAN ST
City: Cambridge
State: Massachusetts
ZIP Code: 02139-2423
Phone: (617) 864-5434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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