Gotlib, Lorraine Betwenik

Gotlib, Lorraine Betwenik is an individual health care provider with primary practice located at 40 Holland St , Somerville MA 02144-2705. She recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as her primary health care specialty. Gotlib, Lorraine Betwenik can be contacted via phone (617) 629-6180.

Contact Information

Primary practice address
40 Holland St Somerville MA 02144-2705
Phone: (617) 629-6180
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health, Adult 163WP0809X 116590 Massachusetts

Profile Details

NPI number 1396799755
LBN Legal business name Gotlib, Lorraine Betwenik
Credentials RNCS
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2006
Last updated Apr 7th, 2009 - about 15 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1396799755 NPPES
Massachusetts Other PN0623 BLUE CROSS
Massachusetts Other 669498 BLUE CROSS
Massachusetts Other P00087776 BLUE CROSS
Massachusetts Other 0037006 BLUE CROSS

Popular Providers