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DR. CAROL A. LEAVELL PH.D.

Clinical Neuropsychologist

Braintree, Massachusetts

Provider NPI: 1205809902

Provider Information:
DR. CAROL A. LEAVELL PH.D.
Gender: F


Practice Location:
250 POND ST  BRAINTREE, MA 02184 US
Tel: 781-348-2218  Fax: 781-348-2132

Business Mailing Address:
250 POND ST  BRAINTREE, MA 02184 US
Tel: 781-348-2218  Fax: 781-348-2132

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y103G00000XBehavioral Health & Social Service Providers
Clinical Neuropsychologist
MA4712

Other Provider Identifiers:

IssuerNumberStateType
BC/BSWO 5654MA01
0500780MA05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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