Lissa M Dutra, PHD
Psychologist, Clinical in Cambridge, Massachusetts
1912113564- Practice location
- 2 Brewer St, Cambridge, MA 02138-5710
- Phone
- 617-230-3002
- Fax
- —
- Last updated
- October 7, 2016
Lissa Marie Dutra is a Psychologist, Clinical based in Cambridge, MA. Lissa Marie Dutra practices in Cambridge, MA and has the professional credentials of PHD. The NPI Number for Lissa Marie Dutra is 1912113564 and holds a License No. TBA (MA). The current practice location address for Lissa Marie Dutra is 2 Brewer St, Cambridge, MA 02138-5710 and can be reached out via phone at 617-230-3002.
Provider Profile Details
- NPI Number
- 1912113564
- Provider Name
- Lissa Marie Dutra
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2 Brewer St, Cambridge, MA 02138-5710
- Phone Number
- 617-230-3002
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 14, 2007
- Last Update Date
- October 7, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2 Brewer St
Cambridge, MA 02138-5710 - City
- Cambridge
- State
- Massachusetts
- Zip
- 02138-5710
- Phone Number
- 617-230-3002
Provider Business Mailing Address Details
- Address
- 10 Concord Ave
Cambridge, MA 02138-2322 - City
- Cambridge
- State
- MA
- Zip
- 02138-2322
- Phone Number
- 617-230-3002
- Fax Number
- 617-849-5863
License Information
- License Number
- TBA
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Lissa M Dutra, PHD?
The NPI number of Lissa M Dutra, PHD is 1912113564. It was assigned on May 14, 2007 and is currently active in the NPPES registry.
What is the specialty of Lissa M Dutra, PHD?
Lissa M Dutra, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number TBA.
Where does Lissa M Dutra, PHD practice?
The practice location is 2 Brewer St, Cambridge, MA 02138-5710. The office can be reached at 617-230-3002 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1912113564 directly on the NPPES registry website.