Search › Massachusetts › 363LX0001X
Colleen Canavan
NPI 1225971070 · on the registry since 2026
Practice
- Address
- 130 Second Ave
Waltham, MA 02451 - Phone
- (781) 434-6500
- Clinicians at this address
- 9
Additional practice sites
- 1 Liberty Sq Fl 9, Boston, MA
Registry record
- Primary taxonomy
- 363LX0001X
363LX0001X
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2026-04-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts