Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YM0800X | Mental Health Counselor | 11039 | MA |
Y | 103TC2200X | Clinical Child & Adolescent Psychologist |
NPI | 1043878507 |
---|---|
Provider Name | Benjamin Aronson |
First Address | Needham, MA 02492-2605 |
Second Address | Brighton, MA 02135-3680 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2019 |
Last Update Date | 19/08/2020 |