Individual
LISA R. STRAUSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1180 BEACON ST, SUITE 5C, BROOKLINE, MA 02446-3885
(617) 731-4837
(617) 731-1110
Mailing address
1180 BEACON ST, SUITE 5C, BROOKLINE, MA 02446-3885
(617) 731-4837
(617) 731-1110
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
7104
MA
103TB0200X
Cognitive & Behavioral Psychologist
7104
MA
103TC0700X
Clinical Psychologist
Primary
7104
MA
103TH0100X
Health Service Psychologist
7104
MA
103TP2701X
Group Psychotherapy Psychologist
7104
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0525936
—
MA
01
—
W05630
BLUE CROSS
MA
Enumeration date
08/18/2006
Last updated
07/02/2010
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