Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker | 111238 | MA |
NPI | 1003152448 |
---|---|
Provider Name | Sarah Bayer |
First Address | Boston, MA 02118-2755 |
Second Address | Boston, MA 02118-2755 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/12/2012 |
Last Update Date | 05/06/2019 |