Fajnzylber, Marcel

Fajnzylber, Marcel is an sole proprietor health care provider with primary practice located at 1141 Beacon St , Brookline MA 02446-5528. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Fajnzylber, Marcel can be contacted via phone (617) 277-9400.

Contact Information

Primary practice address
1141 Beacon St Brookline MA 02446-5528
Phone: (617) 277-9400
Fax: (617) 879-0325
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 03502 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 03502 Massachusetts
Behavioral Health & Social Service Providers / Counseling 103TC1900X 03502 Massachusetts

Profile Details

NPI number 1821008947
LBN Legal business name Fajnzylber, Marcel
Credentials ED.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 9th, 2006
Last updated Dec 29th, 2014 - about 10 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 1821008947 NPPES
Massachusetts MEDICAID 0517607

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