MEDICARE: DR. ALVIN LEE PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	225246	MA

General Provider Information

NPI Number	:	1003744780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALVIN LEE PH.D.

Provider Business Mailing Address
First Line	:	700 HARRISON AVE UNIT 210
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02118-2631
Country	:	US
Telephone Number	:	617-826-9884
Fax Number	:

Provider Business Practice Location Address
First Line	:	444 BRUSH HILL RD
Second Line	:
City	:	MILTON
State	:	MA
Zip	:	02186-1030
Country	:	US
Telephone Number	:	617-826-9884
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2026
Last Update Date	:	05/12/2026

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Directions to “ DR. ALVIN LEE PH.D.” Practice Location

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