Mandelbaum, Madeleine T
Mandelbaum, Madeleine T is an individual health care provider with primary practice located at 12 Parmenter Rd , Londonderry NH 03053-3280. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Mandelbaum, Madeleine T can be contacted via phone (603) 437-2069.Contact Information
Primary practice address
12 Parmenter Rd
Londonderry NH 03053-3280
Phone: (603) 437-2069
Fax: (603) 437-5588
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 275 | New Hampshire |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 106128 | Massachusetts |
Profile Details
| NPI number | 1538255989 |
|---|---|
| LBN Legal business name | Mandelbaum, Madeleine T |
| Credentials | MSW, LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 5th, 2006 |
| Last updated | Jul 9th, 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 | 1538255989 | NPPES |
| New Hampshire | Other | 11258581 | AETNA |
| New Hampshire | MEDICAID | 30007950 | AETNA |
| New Hampshire | Other | NA1394 | AETNA |
| New Hampshire | Other | P06776 | AETNA |
| New Hampshire | Other | 006037 | AETNA |
| New Hampshire | Other | 65429 | AETNA |
| New Hampshire | Other | MAN683192 | AETNA |
| New Hampshire | Other | 000275 | AETNA |
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