Individual
SHIRAZ LEVKOVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1170 BEACON ST STE 301, BROOKLINE, MA 02446-3963
(617) 249-4845
Mailing address
300 CHESTNUT AVE, JAMAICA PLAIN, MA 02130-4414
(617) 758-9866
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
10977
MA
Other
Enumeration date
01/03/2019
Last updated
02/14/2022
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