Organization Name: | INSIGHT BROOKLINE PSYCHOTHERAPY, LLC |
NPI Number: | 1699118802 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ELLIOTT KRONENFELD (FOUNDING PARTNER) |
Mailing Address: | 114 Thurston Rd Newton Upper Falls |
State: | MA US |
Postal Code: | 024641200 |
Phone Number: | 6178344235 |
Fax Number: | |
NPI Enumeration Date: | 04/08/2013 |
NPI Last Update Date: | 04/08/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |