Individual
DR. ALISA R LEVINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ALISA LEVINE, PSY D
Contact information
Practice address
137 LAKE AVE, NEWTON CENTER, MA 02459-2137
(617) 630-8320
Mailing address
137 LAKE AVE, NEWTON CENTER, MA 02459-2137
(617) 630-8320
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3630
MA
Other
Enumeration date
11/20/2008
Last updated
10/03/2018
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