Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TB0200X | Cognitive & Behavioral Psychologist | 10292 | MA |
Y | 103G00000X | Clinical Psychologist | 10292 | MA |
Y | 103TC0700X | Clinical Psychologist | 10292 | MA |
NPI | 1205290947 |
---|---|
Provider Name | Dr. Elizabeth A Schonberg |
First Address | Brighton, MA 02135-4613 |
Second Address | Boston, MA 02114-2696 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/04/2016 |
Last Update Date | 03/05/2021 |