Individual
RIVIAN KENYAN LEWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
10 SEWALL AVENUE, STE 207, BROOKLINE, MA 02446
(602) 904-3126
Mailing address
10 SEWALL AVE STE 207, BROOKLINE, MA 02446-5155
(602) 904-3126
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10000715
MA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/17/2022
Last updated
07/31/2024
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