Ethan L Seidman is a Clinical in Cambridge, Massachusetts. Ethan L Seidman practices all healthcare services and medical treatments related to Clinical. The NPI Number for Ethan L Seidman is 1518027564. The last update date is 2007-07-08.
Ethan L Seidman's current location address is 875 Massachusetts Ave, Cambridge, Massachusetts. You can contact this provider via phone number 6173887920 and fax number 9524872740. The mailing address for Ethan L Seidman is 875 Massachusetts Ave, Cambridge, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ethan L Seidman |
|---|---|
| Address | 875 Massachusetts Ave, Cambridge, Massachusetts |
| Phone Number | 6173887920 |
| Fax Number | 9524872740 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1518027564 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 875 Massachusetts Ave |
|---|---|
| City | Cambridge |
| State | Massachusetts (MA) |
| Post Code | 21393067 |
| Phone Number | 6173887920 |
| Fax Number | 9524872740 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 8218 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Post Comment/ Review Below
What is the unique identification code assigned to Ethan L Seidman by the Centers for Medicare & Medicaid Services?
The Ethan L Seidman has been issued the NPI (National Provider Identifier) 1518027564. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Ethan L Seidman's facilities are situated?
The facilities of Ethan L Seidman are physically located at the following address: 875 Massachusetts Ave, Cambridge, MA, 21393067.
What is Ethan L Seidman's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Ethan L Seidman is Clinical, and the corresponding taxonomy classification code for this specialized field is 103Tc0700X.
When did Ethan L Seidman receive its 1518027564 assignment?
The Ethan L Seidman was assigned its 1518027564 on 2006-12-11, which is the date when this unique identifier was issued to the organization.
When was the Ethan L Seidman's information last updated?
The Ethan L Seidman's information was last updated on 2007-07-08.