DR. SUSAN DEBORAH EDBRIL


Address: 22 Appian Dr, Wellesley, MA 02481-1309
Phone: 6174298343

DR. SUSAN DEBORAH EDBRIL (NPI# 1932385903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1932385903
Entity Type Individual
Full Name DR. SUSAN DEBORAH EDBRIL
Credential PH.D.
Practice Address 22 Appian Dr
Wellesley
MA 02481-1309
Practice Telephone 6174298343
Practice Fax Number 7812370441
Mailing Telephone 6174298343
Mailing Fax Number 7812370441
Enumeration Date 2008-01-21
Last Update Date 2008-01-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC1900X Psychologist
Specialization: Counseling
6015 MA Behavioral Health & Social Service Providers

Office Location

Street Address 22 APPIAN DR
City WELLESLEY
State MA
Zip Code 02481-1309

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Taxonomy Information

Taxonomy Code 103TC1900X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Counseling

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1851315675 Ronni Michaelson Psychologist 83 Elmwood Rd, Wellesley, MA 02481-1147 2006-07-26
1659737179 Janet Park Psychologist 106 Central St, Wellesley, MA 02481-8203 2016-01-13

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NPI Name Taxonomy Address Enumeration
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1710466685 Denise A Green Psychologist 21 Matoon St, Amherst, MA 01002-2107 2018-08-10
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1467945022 Carmen M Torres Psychologist 21 Fenwood Rd Apt 2, Boston, MA 02115-6101 2018-06-08
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Competitor

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City WELLESLEY
Zip Code 02481

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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