Malis, Denise Anne

Malis, Denise Anne is an sole proprietor health care provider with primary practice located at 139 Larch Rd , Cambridge MA 02138-3316. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Malis, Denise Anne can be contacted via phone (617) 497-7370.

Contact Information

Primary practice address
139 Larch Rd Cambridge MA 02138-3316
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 3804 Massachusetts

Profile Details

NPI number 1669528469
LBN Legal business name Malis, Denise Anne
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 25th, 2007
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 1669528469 NPPES
Massachusetts Other LM0978 BLUE CROSS BLUE SHIELD

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