Julia, Gwen W
Julia, Gwen W is an individual health care provider with primary practice located at 60 Temple St , West Newton MA 02465-2307. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Julia, Gwen W can be contacted via phone (617) 965-2956.Contact Information
Primary practice address
60 Temple St
West Newton MA 02465-2307
Phone: (617) 965-2956
Fax: (617) 244-8363
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 1091 | Massachusetts |
Profile Details
| NPI number | 1568594463 |
|---|---|
| LBN Legal business name | Julia, Gwen W |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2007 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568594463 | NPPES |
| Other | 14174 | NATL REG OF HLTH PROV PSY |
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