Iacobbo, Maria L

Iacobbo, Maria L is an individual health care provider with primary practice located at 30 Church St Suite 200, Belmont MA 02478-4900. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Iacobbo, Maria L can be contacted via phone (617) 484-1616.

Contact Information

Primary practice address
30 Church St Suite 200 Belmont MA 02478-4900
Phone: (617) 484-1616
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 2149 Massachusetts

Profile Details

NPI number 1487601589
LBN Legal business name Iacobbo, Maria L
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Jul 8th, 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 1487601589 NPPES
Massachusetts Other W02290 BCBS

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