Theodore Paul Cross
Clinical Psychologist Clinical Child & Adolescent Psychologist
4 Militia Dr
Lexington
, Massachusetts 02421-4737
Theodore Paul Cross
Clinical Psychologist Clinical Child & Adolescent Psychologist
4 Militia Dr
Lexington
, Massachusetts 02421-4737
(781) 640-4532
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About
Features
Specialties
- Clinical Psychologist
- Clinical Child & Adolescent Psychologist
Languages spoken
- English
Location
First Address
- Theodore Paul Cross
- 60 Maynard St
- Arlington, MA
- Zip : 02474-2318
- Phone : (781) 640-4532
Second Address
- Theodore Paul Cross
- 4 Militia Dr
- Lexington, MA
- Zip : 02421-4737
- Phone : (781) 640-4521
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 103G00000X | Clinical Psychologist | 4645 | MA |
| Y | 103TC0700X | Clinical Psychologist | 4645 | MA |
| N | 103TC2200X | Clinical Child & Adolescent Psychologist | 4645 | MA |
National Provider Identifier
| NPI | 1104062942 |
|---|---|
| Provider Name | Theodore Paul Cross |
| First Address | Arlington, MA 02474-2318 |
| Second Address | Lexington, MA 02421-4737 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 29/12/2008 |
| Last Update Date | 29/12/2008 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.