Individual
STEPHANIE A. LICHTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Mailing address
300 LONGWOOD AVE, BOSTON, MA 02115-5724
(617) 355-6000
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
036141256
IL
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
292707
MA
Other
Enumeration date
05/20/2011
Last updated
07/25/2022
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