Edelson, Jill A.
Edelson, Jill A. is an individual health care provider with primary practice located at 4 Hartford St , Newton MA 02461-1553. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Edelson, Jill A. can be contacted via phone (781) 461-6361.Contact Information
Primary practice address
4 Hartford St
Newton MA 02461-1553
Phone: (781) 461-6361
Fax: (617) 332-9990
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4438 | Massachusetts |
Profile Details
| NPI number | 1417924721 |
|---|---|
| LBN Legal business name | Edelson, Jill A. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2006 |
| Last updated | Jul 8th, 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 | 1417924721 | NPPES |
| Massachusetts | Other | 317101 | MAGELLAN BEHAVIORAL HEALT |
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