Wiznitzer, Eileen R

Wiznitzer, Eileen R is an individual health care provider with primary practice located at 5 Watson Rd #101, Belmont MA 02478-3924. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Wiznitzer, Eileen R can be contacted via phone (339) 223-6002.

Contact Information

Primary practice address
5 Watson Rd #101 Belmont MA 02478-3924
Phone: (339) 223-6002
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 4514 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 4514 Massachusetts
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X
Behavioral Health & Social Service Providers / Health Service 103TH0100X
Behavioral Health & Social Service Providers / Psychologist 103T00000X

Profile Details

NPI number 1336217629
LBN Legal business name Wiznitzer, Eileen R
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2006
Last updated May 31st, 2023 - about 2 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 1336217629 NPPES
Massachusetts MEDICAID 0519979

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