Individual
DR. SCOTT D. LITWACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
150 S. HUNTINGTON AVE., BOSTON, MA 02130
(857) 364-4806
Mailing address
150 S. HUNTINGTON AVE., BOSTON, MA 02130
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
01392
RI
103T00000X
Psychologist
PS01392
RI
103TC0700X
Clinical Psychologist
Primary
01392
RI
103TC0700X
Clinical Psychologist
PS01392
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/30/2012
Last updated
11/10/2020
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