Balzac, Elena A.

Balzac, Elena A. is an sole proprietor health care provider with primary practice located at 1419 Beacon St Suite 33, Brookline MA 02446-4808. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Balzac, Elena A. can be contacted via phone (617) 792-8761.

Contact Information

Primary practice address
1419 Beacon St Suite 33 Brookline MA 02446-4808
Phone: (617) 792-8761
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 7425 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7425 Massachusetts

Profile Details

NPI number 1235275868
LBN Legal business name Balzac, Elena A.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 30th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235275868 NPPES
Massachusetts Other W05787 BLUE CROSS BLUE SHIELD

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