Gram, Anita Marie

Gram, Anita Marie is an sole proprietor health care provider with primary practice located at 36 Woburn St #6, Reading MA 01867-2973. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Gram, Anita Marie can be contacted via phone (781) 315-1622.

Contact Information

Primary practice address
36 Woburn St #6 Reading MA 01867-2973
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 04486 Massachusetts

Profile Details

NPI number 1326028762
LBN Legal business name Gram, Anita Marie
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 20th, 2006
Last updated Feb 17th, 2012 - about 12 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 1326028762 NPPES
Massachusetts MEDICAID 0525537

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