Leavell, Carol A.

Leavell, Carol A. is an individual health care provider with primary practice located at 250 Pond St , Braintree MA 02184-5351. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Leavell, Carol A. can be contacted via phone (781) 348-2218.

Contact Information

Primary practice address
250 Pond St Braintree MA 02184-5351
Phone: (781) 348-2218
Fax: (781) 348-2132
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 4712 Massachusetts

Profile Details

NPI number 1205809902
LBN Legal business name Leavell, Carol A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205809902 NPPES
Massachusetts Other WO 5654 BC/BS
Massachusetts MEDICAID 0500780 BC/BS

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