Individual
DR. ELIZABETH LERITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
150 S HUNTINGTON AVE, GRECC 182 (JP), BOSTON, MA 02130-4817
(857) 364-5645
(857) 364-4544
Mailing address
150 S HUNTINGTON AVE, GRECC 182 (JP), BOSTON, MA 02130-4817
(857) 364-5645
(857) 364-4544
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
PS01291
RI
Other
Enumeration date
09/10/2009
Last updated
10/16/2012
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