Individual
DR. IRINA LIVITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1493 CAMBRIDGE ST, CAMBRIDGE, MA 02139-1047
(617) 665-1183
Mailing address
129 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-5766
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/27/2018
Last updated
08/06/2019
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