Brenda Pollara Black in Hingham - Clinical
Brenda Pollara Black - NPI 1578619201
Brenda Pollara Black is a Clinical in Hingham, Massachusetts. Brenda Pollara Black practices all healthcare services and medical treatments related to Clinical. The NPI Number for Brenda Pollara Black is 1578619201. The last update date is 2007-07-08.
Brenda Pollara Black's current location address is 12 Whitcomb Ave, Hingham, Massachusetts. You can contact this provider via phone number 7817401128 and fax number 7817401320. The mailing address for Brenda Pollara Black is 12 Whitcomb Ave, Hingham, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda Pollara Black |
|---|---|
| Address | 12 Whitcomb Ave, Hingham, Massachusetts |
| Phone Number | 7817401128 |
| Fax Number | 7817401320 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1578619201 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 12 Whitcomb Ave |
|---|---|
| City | Hingham |
| State | Massachusetts (MA) |
| Post Code | 20433385 |
| Phone Number | 7817401128 |
| Fax Number | 7817401320 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 4444 |
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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 |
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What is the unique identifier code issued to Brenda Pollara Black by the Centers for Medicare & Medicaid Services?
The Brenda Pollara Black has been assigned the NPI (National Provider Identifier) 1578619201. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Brenda Pollara Black's facilities are situated?
The facilities of Brenda Pollara Black are physically located at the following address: 12 Whitcomb Ave, Hingham, MA, 20433385.
What is the Brenda Pollara Black's specialty and taxonomy code?
The Brenda Pollara Black's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Brenda Pollara Black receive its 1578619201 assignment from the Centers for Medicare & Medicaid Services?
The Brenda Pollara Black was assigned its 1578619201 by the Centers for Medicare & Medicaid Services on 2007-01-26.
As of what date was the information regarding Brenda Pollara Black, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brenda Pollara Black, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.