Dr Elisheva Dan, PHD is a
Psychologist - Clinical based in Brookline, Massachusetts. Dr Elisheva Dan is licensed to practice in Massachusetts (license number 7240) and her current practice location is
1415 Beacon St, Suite #304, Brookline, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(617) 738-0780.
NPI number for Dr Elisheva Dan is 1063566339 and her current mailing address is 1415 Beacon St, Suite #304, Brookline, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063566339.
Provider's Profile
| Full Name | Dr Elisheva Dan |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 1415 Beacon St, Brookline, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063566339
- Provider Enumeration Date: 01/23/2007
- Last Update Date: 11/01/2011
Medical Identifiers
Medical identifiers for Dr Elisheva Dan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1063566339 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 363A00000X | Physician Assistant | 696 (Massachusetts) | Secondary |
| 103TC0700X | Psychologist - Clinical | 7240 (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. Dr Elisheva Dan 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 Address | Practice Location Address |
Dr Elisheva Dan, PHD 1415 Beacon St, Suite #304, Brookline, MA 02446-4816 Ph: (617) 738-0780 | Dr Elisheva Dan, PHD 1415 Beacon St, Suite #304, Brookline, MA 02446-4816 Ph: (617) 738-0780 |
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