Provider Demographics
NPI:1831220912
Name:LOUIE, BELSER (PHD)
Entity type:Individual
Prefix:DR
First Name:BELSER
Middle Name:
Last Name:LOUIE
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:258 HARVARD ST
Mailing Address - Street 2:#291
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-2904
Mailing Address - Country:US
Mailing Address - Phone:617-513-2977
Mailing Address - Fax:617-734-4582
Practice Address - Street 1:1284 BEACON ST
Practice Address - Street 2:#320
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-3788
Practice Address - Country:US
Practice Address - Phone:617-513-2977
Practice Address - Fax:617-734-4582
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2647103TA0400X, 103TC0700X, 103TC2200X, 103TF0200X, 103TH0100X, 103T00000X, 103TP2701X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103TA0400XBehavioral Health & Social Service ProvidersPsychologistAddiction (Substance Use Disorder)
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Not Answered103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent
Not Answered103TF0200XBehavioral Health & Social Service ProvidersPsychologistForensic
Not Answered103TH0100XBehavioral Health & Social Service ProvidersPsychologistHealth Service
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0509892Medicaid