Provider Demographics
NPI:1992940456
Name:CUEVAS, CARLOS ANDRES (PHD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:ANDRES
Last Name:CUEVAS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 INMAN STREET
Mailing Address - Street 2:NEW DIRECTIONS: ASSESSMENT AND COUNSELING SERVICES
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139
Mailing Address - Country:US
Mailing Address - Phone:617-864-5434
Mailing Address - Fax:
Practice Address - Street 1:12 INMAN STREET
Practice Address - Street 2:NEW DIRECTIONS: ASSESSMENT AND COUNSELING SERVICES
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139
Practice Address - Country:US
Practice Address - Phone:617-864-5434
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-11
Last Update Date:2008-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8890103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical