Moldover, Joseph Emile

Moldover, Joseph Emile is an sole proprietor health care provider with primary practice located at 555 Washington Street Suite 5, Wellesley MA 02482-5996. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Moldover, Joseph Emile can be contacted via phone (781) 237-1735.

Contact Information

Primary practice address
555 Washington Street Suite 5 Wellesley MA 02482-5996
Fax: (781) 237-1768
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 8256 Massachusetts

Profile Details

NPI number 1144379561
LBN Legal business name Moldover, Joseph Emile
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 9th, 2007
Last updated Sep 11th, 2009 - about 16 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 1144379561 NPPES
Massachusetts Other W06378 BLUE CROSS PROVIDER NUMBE

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