Soren R Ekstrom, PHD - Psychologist in Watertown, MA

Soren R Ekstrom, PHD is a Psychologist - Clinical based in Watertown, Massachusetts. Soren R Ekstrom is licensed to practice in Massachusetts (license number 3505) and his current practice location is 29 Chester St, Watertown, Massachusetts. He can be reached at his office (for appointments etc.) via phone at (617) 923-6086.

NPI number for Soren R Ekstrom is 1477763316 and his current mailing address is 29 Chester St, Watertown, Massachusetts. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1477763316.

Contact Information

Soren R Ekstrom, PHD
29 Chester St,
Watertown, MA 02472-4002
(617) 923-6086
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameSoren R Ekstrom
GenderMale
SpecialityPsychologist - Clinical
Location29 Chester St, Watertown, Massachusetts
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1477763316
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Soren R Ekstrom such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1477763316NPI-NPPES
3505OtherMAPSYCHOLOGY LICENSE

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TC0700XPsychologist - Clinical 3505 (Massachusetts)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Soren R Ekstrom is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Soren R Ekstrom, PHD
29 Chester St,
Watertown, MA 02472-4002

Ph: (617) 923-6086
Soren R Ekstrom, PHD
29 Chester St,
Watertown, MA 02472-4002

Ph: (617) 923-6086

Reviews and Comments


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