Doctor Name: | LAUREN M. EIDT-PEARSON |
NPI Number: | 1215363114 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 110710 |
Business Practice Address: | 151 Worcester Rd Barre, MA - 010059002 |
Business Phone Number: | 9783559222 |
Business Fax Number: | |
Mailing Address: | Po Box 415348, BOSTON |
State: | MA |
Postal Code: | 022415348 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 09/24/2013 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 110710 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |