Blumberg, Paula Blumberg Alice
Blumberg, Paula Blumberg Alice is an sole proprietor health care provider with primary practice located at 2184 Washington St , Canton MA 02021-1145. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Blumberg, Paula Blumberg Alice can be contacted via phone (781) 821-0460.Contact Information
Primary practice address
2184 Washington St
Canton MA 02021-1145
Phone: (781) 821-0460
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 102275 | Massachusetts |
Profile Details
| NPI number | 1568687796 |
|---|---|
| LBN Legal business name | Blumberg, Paula Blumberg Alice |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 14th, 2007 |
| Last updated | Jul 9th, 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 | 1568687796 | NPPES |
| Massachusetts | MEDICAID | 1853465 | |
| Massachusetts | Other | 008959 | |
| Massachusetts | Other | BL PO1164 |
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