Doctor Name: | VITA GOLUB-GINSBURG |
NPI Number: | 1144655663 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 3792 |
Business Practice Address: | 175 Derby St Ste 2 Hingham, MA - 020434007 |
Business Phone Number: | 7817499227 |
Business Fax Number: | 7814895902 |
Mailing Address: | 9 Everett St, WELLESLEY |
State: | MA |
Postal Code: | 024824718 |
Phone Number: | 7817499227 |
Fax Number: | 7814895902 |
NPI Enumeration Date: | 09/04/2013 |
NPI Last Update Date: | 09/04/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 3792 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |