Most Relevant Information
Provider Data
| NPI Number: | 1003431040 |
| Provider Name: | KATHERINE LEIVY |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/16/2020 |
| Last Updated: | 06/16/2020 |
Provider Practice Location
909 SUMNER ST
STOUGHTON
MA
020723396
Practice Location Phone/Fax
| Phone: | 8004441554 |
| Fax: |
Provider Mailing Location
34 CHISWICK RD APT 7
BRIGHTON
MA
021357176
Provider Mailing Phone/Fax
| Phone: | 5407972604 |
| Fax: |