Individual provider · Type 1 NPI

Ethan Aaron Eisdorfer, PSYD

Clinical Psychologist · Worcester, MA

NPI number 1083864946 Active

Practice location

55 Lake Ave N
Worcester, MA 01655-0002

Fax (774) 442-4672

Mailing address

PO Box 415348
Boston, MA 02241-5348

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X11368 (MA)

Clinical Psychologist: 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 breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1083864946

Ethan Aaron Eisdorfer, PSYD's National Provider Identifier is 1083864946, issued on Sep 26, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Worcester, MA. The record was last updated on Mar 5, 2025.