Niezgoda, Alexandra Jordan

Niezgoda, Alexandra Jordan is an individual health care provider with primary practice located at 875 Massachusetts Ave # 4-1 , Cambridge MA 02139-3067. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Niezgoda, Alexandra Jordan can be contacted via phone (617) 996-8821.

Contact Information

Primary practice address
875 Massachusetts Ave # 4-1 Cambridge MA 02139-3067
Phone: (617) 996-8821
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Massachusetts
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Dance Therapist 225600000X Massachusetts

Profile Details

NPI number 1740036763
LBN Legal business name Niezgoda, Alexandra Jordan
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 29th, 2024
Last updated Apr 29th, 2024 - about 8 months 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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