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Individual

DR. ALISA BEAVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
155 MAPLE ST, SUITE 207, SPRINGFIELD, MA 01105-2649
(413) 285-8722
(413) 285-8722
Mailing address
155 MAPLE ST, SUITE 207, SPRINGFIELD, MA 01105-2649
(413) 320-1180
(413) 285-8722

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7794
MA
106H00000X
Marriage & Family Therapist
1286
MA

Other

Enumeration date
11/17/2016
Last updated
11/17/2016
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