Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 6710 | MA |
Y | 103T00000X | Psychologist | 6710 | MA |
NPI | 1003039942 |
---|---|
Provider Name | Carole Slipowitz |
First Address | West Newton, MA 02465-1359 |
Second Address | Newton, MA 02459-1913 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 10/04/2007 |
Last Update Date | 08/07/2007 |