Petegorsky, Elizabeth Morrison

Petegorsky, Elizabeth Morrison is an sole proprietor health care provider with primary practice located at 19 Center Ct Suite 2A, Northampton MA 01060-3006. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Petegorsky, Elizabeth Morrison can be contacted via phone (413) 297-5644.

Contact Information

Primary practice address
19 Center Ct Suite 2A Northampton MA 01060-3006
Phone: (413) 297-5644
Fax: (413) 584-9915
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 1135 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1015429 Massachusetts

Profile Details

NPI number 1972569325
LBN Legal business name Petegorsky, Elizabeth Morrison
Credentials LICSW CEAP LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 25th, 2006
Last updated Oct 23rd, 2012 - about 14 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 1972569325 NPPES
Massachusetts Other P04900 BLUE CROSS BLUE SHIELD
Massachusetts Other 56264 BLUE CROSS BLUE SHIELD
Massachusetts Other P04900 BLUE CROSS BLUE SHIELD
Massachusetts Other 56264 BLUE CROSS BLUE SHIELD
Massachusetts Other 35392 BLUE CROSS BLUE SHIELD
Massachusetts Other 56264 BLUE CROSS BLUE SHIELD

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