Cristina Basave Davy, PH.D.
Individual provider Active NPI Psychologist · Groton, MA
NPI 1467633461 · NPPES record last updated Nov 18, 2007
Key facts
- NPI
- 1467633461
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Psychologist 103T00000X
- Practice address
- 290 Boston Rd
Groton, MA 01450-1960 - Phone
- (978) 448-2918
- NPI assigned
- Nov 18, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Doctor of Philosophy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychologist | 103T00000X | Yes |
Addresses
Primary practice location
290 Boston Rd
Groton, MA 01450-1960
Mailing address
290 Boston Rd
Groton, MA 01450-1960
Phone (978) 448-2918
Other providers in Groton, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 18, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.