Individual
DR. JUDITH A LIVINGSTON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
30 1/2 SHEPARD ST, CAMBRIDGE, MA 02138-1522
(617) 492-0684
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
103TC0700X
Clinical Psychologist
Primary
3635
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W03668
BCBS
—
Enumeration date
10/25/2005
Last updated
07/08/2007
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