Max Alovisetti

Individual provider Active NPI Psychologist · Andover, MA

NPI 1902042575 · NPPES record last updated Jan 1, 2009

Key facts

NPI
1902042575
Entity type
Individual (NPI type 1)
Primary specialty
Psychologist 103T00000X
License
2891 (MA)
Practice address
20 Abbot St
Andover, MA 01810-4004
Phone
(978) 475-0598
NPI assigned
Jan 1, 2009
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychologist 103T00000X 2891 MA Yes
Cognitive & Behavioral Psychologist 103TB0200X 2891 MA

Addresses

Primary practice location

20 Abbot St
Andover, MA 01810-4004

Mailing address

20 Abbot St
Andover, MA 01810-4004
Phone (978) 475-0598

Other providers in Andover, MA

All providers in Andover, MA · Psychologist in Massachusetts

Sources for this page

Verify at the official NPI Registry.