Individual
JOSEPH LIFTIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1853 COMMONWEALTH AVE, 7, BRIGHTON, MA 02135-5498
(617) 254-4136
Mailing address
77 POND AVE, 806, BROOKLINE, MA 02445-7141
(617) 254-4136
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
295
MA
Other
Enumeration date
11/10/2006
Last updated
07/08/2007
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