Glikson, Sophie Marcelle
Glikson, Sophie Marcelle is an individual health care provider with primary practice located at 142 Walsh Street , Medford MA 02155-1245. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Glikson, Sophie Marcelle can be contacted via phone (781) 874-0709.Contact Information
Primary practice address
142 Walsh Street
Medford MA 02155-1245
Phone: (781) 874-0709
Fax: (781) 874-0224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 3110 | Massachusetts |
Profile Details
| NPI number | 1659422574 |
|---|---|
| LBN Legal business name | Glikson, Sophie Marcelle |
| Credentials | MAS |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 16th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1659422574 | NPPES |
| Massachusetts | Other | 3110 | LHHC LICENSE MENTAL HEALT |
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