Krulewitz, Judith E

Krulewitz, Judith E is an sole proprietor health care provider with primary practice located at 545 Concord Ave Suite 20, Cambridge MA 02138-1125. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Krulewitz, Judith E can be contacted via phone (617) 818-2159.

Contact Information

Primary practice address
545 Concord Ave Suite 20 Cambridge MA 02138-1125
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X 3949-PY Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 3949-PY Massachusetts
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3949-PY Massachusetts

Profile Details

NPI number 1760473441
LBN Legal business name Krulewitz, Judith E
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 2nd, 2005
Last updated Nov 21st, 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 1760473441 NPPES
Massachusetts MEDICAID 1899309
Massachusetts Other 135532000
Massachusetts Other W03932

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