Bermingham, Juliette Mazur
Bermingham, Juliette Mazur is an individual health care provider with primary practice located at 87 Stiles Rd Suite 106, Salem NH 03079-2899. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Bermingham, Juliette Mazur can be contacted via phone (603) 893-7700.Contact Information
Primary practice address
87 Stiles Rd Suite 106
Salem NH 03079-2899
Phone: (603) 893-7700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 958 | New Hampshire |
Profile Details
| NPI number | 1689704165 |
|---|---|
| LBN Legal business name | Bermingham, Juliette Mazur |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1689704165 | NPPES |
| New Hampshire | MEDICAID | 30423584 |
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