Individual
DR. TAMARA J LEAF
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
151 EVERETT AVENUE CHC, CHELSEA HEALTHCARE CENTER, CHELSEA, MA 02150-1807
(617) 889-8515
(617) 889-8509
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
4535
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W04724
BCBS MA
MA
Enumeration date
11/18/2005
Last updated
07/08/2007
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