Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 6678 | MA |
Y | 103T00000X | Psychologist | 6678 | MA |
NPI | 1013989565 |
---|---|
Provider Name | Dr. James Steven Leffert |
First Address | Cambridge, MA 02138-1934 |
Second Address | Framingham, MA 01701-4868 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 07/02/2006 |
Last Update Date | 03/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0525898 | (05) | MA |