Summersby, David

Summersby, David is an individual health care provider with primary practice located at 585 Lebanon St , Melrose MA 02176-3225. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Summersby, David can be contacted via phone (781) 979-3310.

Contact Information

Primary practice address
585 Lebanon St Melrose MA 02176-3225
Fax: (781) 979-3326
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1027043 Massachusetts

Profile Details

NPI number 1548244239
LBN Legal business name Summersby, David
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Apr 8th, 2013 - about 13 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 1548244239 NPPES
Massachusetts MEDICAID 1200992

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