Individual
DR. LOIS A LEVIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
497 CHESTNUT ST, WABAN, MA 02468-1220
(617) 527-1237
Mailing address
497 CHESTNUT ST, WABAN, MA 02468-1220
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
355
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0503584
—
MA
Enumeration date
12/02/2006
Last updated
07/08/2007
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