Most Relevant Information
Provider Data
| NPI Number: | 1003583568 |
| Provider Name: | NICKKI P DAWES |
| Entity Type: | Individual |
| Taxonomy Code: | 103T00000X |
| Specialty: | Psychologist |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/24/2021 |
| Last Updated: | 08/24/2021 |
Provider Practice Location
765 COMMONWEALTH AVE
BOSTON
MA
022151401
Practice Location Phone/Fax
| Phone: | 2177666792 |
| Fax: |
Provider Mailing Location
12 PAGE RD
NEWTON
MA
024601513
Provider Mailing Phone/Fax
| Phone: | 2177666792 |
| Fax: |