Entwistle, Peter C

Entwistle, Peter C is an sole proprietor health care provider with primary practice located at 54 Pudding Brook Dr , Pembroke MA 02359-2008. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Entwistle, Peter C can be contacted via phone (781) 826-7197.

Contact Information

Primary practice address
54 Pudding Brook Dr Pembroke MA 02359-2008
Phone: (781) 826-7197
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 4237 Massachusetts
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4237 Massachusetts

Profile Details

NPI number 1477743854
LBN Legal business name Entwistle, Peter C
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2007
Last updated Jul 31st, 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 1477743854 NPPES
Massachusetts Other WO4515 BLUE CROSS-BLUE SHIELD

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