Birnbaum, Morton Paul
Birnbaum, Morton Paul is an sole proprietor health care provider with primary practice located at 410 Boston Post Rd Suite 34, Sudbury MA 01776-3014. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Birnbaum, Morton Paul can be contacted via phone (978) 443-0480.Contact Information
Primary practice address
410 Boston Post Rd Suite 34
Sudbury MA 01776-3014
Phone: (978) 443-0480
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 402 | Massachusetts |
| Behavioral Health & Social Service Providers / Health Service | 103TH0100X | 402 | Massachusetts |
Profile Details
| NPI number | 1174604979 |
|---|---|
| LBN Legal business name | Birnbaum, Morton Paul |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 18th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174604979 | NPPES |
| Massachusetts | Other | W01579 | BLUE CROSS/BLUE SHIELD |
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