Enggasser, Justin Leo

Enggasser, Justin Leo is an individual health care provider with primary practice located at 150 S. Huntington Avenue Va Boston Healthcare System (116B), Boston MA 02130. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Cognitive & Behavioral. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Enggasser, Justin Leo can be contacted via phone (774) 826-1380.

Contact Information

Primary practice address
150 S. Huntington Avenue Va Boston Healthcare System (116B) Boston MA 02130
Phone: (774) 826-1380
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 8807 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 8807 Massachusetts
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 8807 Massachusetts

Profile Details

NPI number 1730370032
LBN Legal business name Enggasser, Justin Leo
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2007
Last updated Jan 7th, 2008 - about 16 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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