Blumberg, Elizabeth Susan

Blumberg, Elizabeth Susan is an individual health care provider with primary practice located at 130 2Nd Ave Boston Ivf - Domar Center For Mind/Body Health, Waltham MA 02451-1100. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Blumberg, Elizabeth Susan can be contacted via phone (781) 434-6578.

Contact Information

Primary practice address
130 2Nd Ave Boston Ivf - Domar Center For Mind/Body Health Waltham MA 02451-1100
Phone: (781) 434-6578
Fax: (781) 370-2330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5027 Massachusetts

Profile Details

NPI number 1154525194
LBN Legal business name Blumberg, Elizabeth Susan
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2007
Last updated Oct 10th, 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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