Individual
DR. STEPHEN ELLIOT LITWACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
1342 BELMONT STREET, SUITE 103, BROCKTON, MA 02401
(508) 895-9393
Mailing address
1342 BELMONT STREET, SUITE 103, BROCKTON, MA 02401
(508) 895-9393
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
202
MA
103T00000X
Psychologist
Primary
PY2105PR
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
161283
MAGELLAN
—
01
—
W02296
BCBS
—
Enumeration date
09/22/2006
Last updated
07/12/2010
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