Zuckerman, Fredda
Zuckerman, Fredda is an sole proprietor health care provider with primary practice located at 27 Mica Ln Suite 205, Wellesley MA 02481-1724. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Zuckerman, Fredda can be contacted via phone (617) 921-4826.Contact Information
Primary practice address
27 Mica Ln Suite 205
Wellesley MA 02481-1724
Phone: (617) 921-4826
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 103793 | Massachusetts |
Profile Details
| NPI number | 1265509558 |
|---|---|
| LBN Legal business name | Zuckerman, Fredda |
| Credentials | L.I.C.S.W. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 29th, 2006 |
| Last updated | Apr 18th, 2016 - about 10 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 | 1265509558 | NPPES |
| Massachusetts | Other | ZUPO1835 | BLUCROSSBLUE SHIELD |
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