Belcher, Phyllis Louise

Belcher, Phyllis Louise is an sole proprietor health care provider with primary practice located at 70 Parkside Ave , Braintree MA 02184-3102. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Belcher, Phyllis Louise can be contacted via phone (781) 843-4090.

Contact Information

Primary practice address
70 Parkside Ave Braintree MA 02184-3102
Fax: (781) 843-4090
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 7182 Massachusetts

Profile Details

NPI number 1952433195
LBN Legal business name Belcher, Phyllis Louise
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 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 1952433195 NPPES
Massachusetts Other 1011280 BEACON HEALTH FOR FCHP
Massachusetts Other W05589 BEACON HEALTH FOR FCHP
Massachusetts MEDICAID 0526061 BEACON HEALTH FOR FCHP

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