Brucculeri, Maria Berstein

Brucculeri, Maria Berstein is an sole proprietor health care provider with primary practice located at 11 Main St , Southborough MA 01772-1661. She recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as her primary health care specialty. Brucculeri, Maria Berstein can be contacted via phone (508) 787-9713.

Contact Information

Primary practice address
11 Main St Southborough MA 01772-1661
Phone: (508) 787-9713
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 6504 Massachusetts

Profile Details

NPI number 1124142021
LBN Legal business name Brucculeri, Maria Berstein
Credentials ED.D
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124142021 NPPES
Massachusetts Other 7428353 AETNA
Massachusetts Other 455196 AETNA
Massachusetts Other 6162351 AETNA
Massachusetts Other W06109 AETNA
Massachusetts Other 1005820 AETNA
Massachusetts Other 013120 AETNA
Massachusetts Other 52402 AETNA

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