Individual
DR. CATHERINE LOUISE LEVERONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
5 EMERSON PLACE, SUITE 105 PSYCHOLOGY ASSESSMENT CENTER, BOSTON, MA 02114
(617) 726-6075
(617) 724-3726
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
1421
NH
2084N0400X
Neurology Physician
7915
MA
2084P0800X
Psychiatry Physician
7915
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0501760
—
MA
05
—
3093779
—
NH
01
—
W04793
BCBS MA
MD
Enumeration date
02/24/2006
Last updated
11/30/2018
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