Tanya Diver in Boston - Clinical Neuropsychologist
Tanya Diver - NPI 1720258932
Tanya Diver is a Clinical Neuropsychologist in Boston, Massachusetts. Tanya Diver practices all healthcare services and medical treatments related to Clinical Neuropsychologist. The NPI Number for Tanya Diver is 1720258932. The last update date is 2008-03-04.
Tanya Diver's current location address is 300 Longwood Ave, Boston, Massachusetts. You can contact this provider via phone number 6173557637 and fax number 6177300319. The mailing address for Tanya Diver is 300 Longwood Ave, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tanya Diver |
|---|---|
| Address | 300 Longwood Ave, Boston, Massachusetts |
| Phone Number | 6173557637 |
| Fax Number | 6177300319 |
| Sole Proprietor | N |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1720258932 |
|---|---|
| Provider Enumeration Date | 2008-03-04 |
| Last Updated Date | 2008-03-04 |
Provider Mailing Address Detail
| Address | 300 Longwood Ave |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21155724 |
| Phone Number | 6173557637 |
| Fax Number | 6177300319 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Neuropsychologist |
|---|---|
| Taxonomy | 103G00000X |
| Licence No | 8823 |
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Definition: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing th |
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What is the unique 10-digit identification code assigned to Tanya Diver by the Centers for Medicare & Medicaid Services?
The Tanya Diver has been issued the NPI (National Provider Identifier) 1720258932, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Tanya Diver?
The Tanya Diver is physically situated at 300 Longwood Ave, in the city of Boston, state of MA, with the postal code 21155724.
What is Tanya Diver's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Tanya Diver is Clinical Neuropsychologist, and the taxonomy code that classifies this field of practice is 103G00000X.
On what date did Tanya Diver receive its 1720258932 assignment from the Centers for Medicare & Medicaid Services?
The Tanya Diver was assigned its 1720258932 on 2008-03-04, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Tanya Diver last refreshed?
The information related to the Tanya Diver, including its address, specialty, and other relevant details, was last updated on 2008-03-04.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY