Individual
DR. HARVEY IRWIN BOTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
SUITE 3, 15 DEPOT SQUARE, LEXINGTON, MA 02420-6330
(617) 429-1882
Mailing address
4 HAYWARD AVE, LEXINGTON, MA 02421-7211
(781) 863-2612
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
4176
MA
Other
Enumeration date
05/31/2007
Last updated
07/08/2007
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