Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1041C0700X | Clinical Social Worker |
NPI | 1003127739 |
---|---|
Provider Name | Schuyler Engel |
First Address | Cambridge, MA 02139-3907 |
Second Address | Roslindale, MA 02131-3908 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/06/2010 |
Last Update Date | 28/06/2010 |