Individual
LIZETTE J SANTANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
73 TREMONT ST, BOSTON, MA 02108-3916
(617) 573-8226
Mailing address
1371 BEACON ST STE 304, BROOKLINE, MA 02446-4965
(617) 487-4283
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10942
MA
Other
Enumeration date
12/16/2018
Last updated
05/28/2020
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