| Shiraz Levkovich Psy D Inc | |
|
1170 Beacon St Ste 301 Brookline MA 02446-3963 | |
| (617) 249-4845 | |
| Not Available |
| Full Name | Shiraz Levkovich Psy D Inc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 1170 Beacon St Ste 301, Brookline, Massachusetts |
| Authorized Official Name and Position | Shiraz Levkovich (OWNER, DIRECTOR) |
| Authorized Official Contact | 6177589866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shiraz Levkovich Psy D Inc 300 Chestnut Ave Jamaica Plain MA 02130-4414 Ph: (617) 758-9866 | Shiraz Levkovich Psy D Inc 1170 Beacon St Ste 301 Brookline MA 02446-3963 Ph: (617) 249-4845 |
| NPI Number | 1376131698 |
|---|---|
| Provider Enumeration Date | 01/03/2021 |
| Last Update Date | 02/14/2022 |
| Certification Date | 02/14/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376131698 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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