| Soren R. Ekstrom, Inc. | |
|
29 Chester St Watertown MA 02472-4002 | |
| (617) 923-6086 | |
| Not Available |
| Full Name | Soren R. Ekstrom, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 29 Chester St, Watertown, Massachusetts |
| Authorized Official Name and Position | Soren R. Ekstrom (SOLE PROPIETOR) |
| Authorized Official Contact | 6179236086 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Soren R. Ekstrom, Inc. 29 Chester St Watertown MA 02472-4002 Ph: (617) 923-6086 | Soren R. Ekstrom, Inc. 29 Chester St Watertown MA 02472-4002 Ph: (617) 923-6086 |
| NPI Number | 1134421902 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 11/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134421902 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3505 (Massachusetts) | Primary |
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