Van Der Kolk, Elisabeth
Van Der Kolk, Elisabeth is an individual health care provider with primary practice located at 23 Main St , Watertown MA 02472-4403. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Van Der Kolk, Elisabeth can be contacted via phone (617) 312-4116.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 102645 | Massachusetts |
Profile Details
| NPI number | 1487773404 |
|---|---|
| LBN Legal business name | Van Der Kolk, Elisabeth |
| Credentials | L.I.C.S.W. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2007 |
| Last updated | Jul 24th, 2013 - about 11 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 | 1487773404 | NPPES |
| Massachusetts | Other | 459408 | TUFTS HEALTH PLAN |
| Massachusetts | Other | VAP03254 | TUFTS HEALTH PLAN |
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