Provider Demographics
NPI:1851652861
Name:MAVANI, DEVEN M (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DEVEN
Middle Name:M
Last Name:MAVANI
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 WALPOLE ST STE 6
Mailing Address - Street 2:
Mailing Address - City:NORWOOD
Mailing Address - State:MA
Mailing Address - Zip Code:02062-3319
Mailing Address - Country:US
Mailing Address - Phone:781-769-1646
Mailing Address - Fax:
Practice Address - Street 1:45 WALPOLE ST STE 6
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-3319
Practice Address - Country:US
Practice Address - Phone:781-769-1646
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2018-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist