Bromberg, Jonas Ian
Bromberg, Jonas Ian is an sole proprietor health care provider with primary practice located at 11 Chapel Pl Human Relations Service, Wellesley MA 02481-3130. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Bromberg, Jonas Ian can be contacted via phone (781) 235-4950.Contact Information
Primary practice address
11 Chapel Pl Human Relations Service
Wellesley MA 02481-3130
Phone: (781) 235-4950
Fax: (781) 235-7170
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Cognitive & Behavioral | 103TB0200X | 7257 | Massachusetts |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 7257 | Massachusetts |
Profile Details
NPI number | 1750458170 |
---|---|
LBN Legal business name | Bromberg, Jonas Ian |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 29th, 2006 |
Last updated | Dec 19th, 2013 - about 11 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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