Healthcare Provider Details

I. General information

NPI: 1164546073
Provider Name (Legal Business Name): LINDA M LUZ-ALTERMAN PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1105 MASSACHUSETTS AVE SUITE 3-C
CAMBRIDGE MA
02138-5220
US

IV. Provider business mailing address

1105 MASSACHUSETTS AVE SUITE 3-C
CAMBRIDGE MA
02138-5220
US

V. Phone/Fax

Practice location:
  • Phone: 617-354-3215
  • Fax: 617-354-3215
Mailing address:
  • Phone: 617-354-3215
  • Fax: 617-354-3215

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number4038
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code103TH0100X
TaxonomyHealth Service Psychologist
License Number4038
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number4038
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: