Habbe, Illyse S.

Habbe, Illyse S. is an sole proprietor health care provider with primary practice located at 15 Cottage St Suite 3, Norwood MA 02062-2153. She recently has only one registered license in Behavioral Health & Social Service Providers / Health Service, which is considered as her primary health care specialty. Habbe, Illyse S. can be contacted via phone (781) 784-2431.

Contact Information

Primary practice address
15 Cottage St Suite 3 Norwood MA 02062-2153
Phone: (781) 784-2431
Fax: (781) 784-2431
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Health Service 103TH0100X 6697 Massachusetts

Profile Details

NPI number 1386731743
LBN Legal business name Habbe, Illyse S.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 6th, 2006
Last updated Jul 8th, 2007 - about 18 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 1386731743 NPPES
Massachusetts Other 014854 HARVARD PILGRIM/PACIFICAR
Massachusetts Other 486857 HARVARD PILGRIM/PACIFICAR
Massachusetts MEDICAID 0596485 HARVARD PILGRIM/PACIFICAR

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