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NPI Code Detail

MEDICARE: DIVYA KUMAR

MEDICARE: DIVYA KUMAR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103TC0700XClinical Psychologist10000810MA

General Provider Information

NPI Number : 1114668878
Entity Type Code : Individual
Provider Name (Legal Business Name) : DIVYA KUMAR
Provider Business Mailing Address
First Line : 57 BEDFORD ST STE 230
Second Line :
City : LEXINGTON
State : MA
Zip : 02420-4502
Country : US
Telephone Number : 214-768-1767
Fax Number :
Provider Business Practice Location Address
First Line : 57 BEDFORD ST STE 230
Second Line :
City : LEXINGTON
State : MA
Zip : 02420-4502
Country : US
Telephone Number : 617-855-5735
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2022
Last Update Date : 08/25/2025

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Directions to “ DIVYA KUMAR ” Practice Location

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