NPI 1053925883 · live from the CMS NPI Registry
Cyrielle Andrew, PsyD
Psychologist, Health Service in Boston, MA. National Provider Identifier 1053925883, active.
NPI record
| NPI | 1053925883 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Health Service 103TH0100X |
| Practice location | 55 Fruit St, Boston, MA 02114 |
| Practice phone | 617-724-4133 |
| Mailing address | 89 Access Rd Ste 24, Norwood, MA 02062 |
| Enumerated | August 31, 2020 |
| Last updated | December 29, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist | 103T00000X | 11376 (MA) |
| Psychologist, Adult Development & Aging | 103TA0700X | — |
| Psychologist, Cognitive & Behavioral | 103TB0200X | — |
| Psychologist, Health Service primary | 103TH0100X | 11376 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.