Individual provider · Type 1 NPI

Elizabeth Susan Blumberg, PSY.D.

Mental Health Counselor · Waltham, MA

NPI number 1154525194 Active

Practice location

130 2nd Ave, Boston Ivf - Domar Center For Mind/body Health
Waltham, MA 02451-1100

Call (781) 434-6578 Map

Fax (781) 370-2330

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X5027 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1154525194

Elizabeth Susan Blumberg, PSY.D.'s National Provider Identifier is 1154525194, issued on Jun 13, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waltham, MA. The record was last updated on Oct 10, 2007.