MEDICARE: DR. CHRISTINE ADAMS

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
1	103TC0700X	Clinical Psychologist	8712	MA

General Provider Information

NPI Number	:	1831386119
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE ADAMS

Provider Business Mailing Address
First Line	:	78 OUTLOOK DR
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02421-6927
Country	:	US
Telephone Number	:	781-863-2009
Fax Number	:

Provider Business Practice Location Address
First Line	:	3 BOW ST
Second Line	:	CAMBRIDGE EATING DISORDER CENTER
City	:	CAMBRIDGE
State	:	MA
Zip	:	02138-5103
Country	:	US
Telephone Number	:	617-547-2255
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/01/2007
Last Update Date	:	10/01/2007

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Directions to “ DR. CHRISTINE ADAMS ” Practice Location

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