Bemporad, Brenda
Bemporad, Brenda is an sole proprietor health care provider with primary practice located at 125 Lowell Ave , Newtonville MA 02460-1521. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bemporad, Brenda can be contacted via phone (617) 965-2037.Contact Information
Primary practice address
125 Lowell Ave
Newtonville MA 02460-1521
Phone: (617) 965-2037
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4390 | Massachusetts |
Profile Details
NPI number | 1366462129 |
---|---|
LBN Legal business name | Bemporad, Brenda |
Credentials | PHD |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 21st, 2006 |
Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366462129 | NPPES |
Massachusetts | MEDICAID | 0519022 |
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