Belluardo-Crosby, Mark

Belluardo-Crosby, Mark is an individual health care provider with primary practice located at 30 Federal St Suite B, Salem MA 01970-3869. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Belluardo-Crosby, Mark can be contacted via phone (978) 239-7065.

Contact Information

Primary practice address
30 Federal St Suite B Salem MA 01970-3869
Phone: (978) 239-7065
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3719 Massachusetts

Profile Details

NPI number 1528021623
LBN Legal business name Belluardo-Crosby, Mark
Credentials D.MIN, LMHC
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2006
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 1528021623 NPPES
Massachusetts Other 010866 HARVARD PILGRIM HEALTHCAR
Massachusetts MEDICAID 1895061 HARVARD PILGRIM HEALTHCAR
Massachusetts Other LM0385 HARVARD PILGRIM HEALTHCAR

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