DR. DEBORAH EDELMAN-BLANK


Address: 220 Pawtucket Street, Suite 300, Lowell, MA 01854-5144
Phone: 9789346800

DR. DEBORAH EDELMAN-BLANK (NPI# 1710463922) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710463922
Entity Type Individual
Full Name DR. DEBORAH EDELMAN-BLANK
Credential PSY.D.
Practice Address 220 Pawtucket Street
Suite 300
Lowell
MA 01854-5144
Practice Telephone 9789346800
Practice Fax Number 9789344025
Mailing Telephone 9789346800
Mailing Fax Number 9789344025
Enumeration Date 2018-07-11
Last Update Date 2018-07-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 103TC0700X Psychologist
Specialization: Clinical
10766 MA Behavioral Health & Social Service Providers

Office Location

Street Address 220 PAWTUCKET STREET
SUITE 300
City LOWELL
State MA
Zip Code 01854-5144

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1013270446 Alexandra Miniati Internal Medicine 275 Varnum Ave Riverside Medical Group, Ste 201, Lowell, MA 01854 2012-06-20
1750608923 Elisha S Bartlett Social Worker 391 Varnum Avenue, Lowell, MA 01854 2010-04-28
1871820399 Sandy Ann Thongkhamsouk Counselor 391 Varnum St., Lowell, MA 01854 2009-11-04
1427299007 Kristin A. Larson Nurse Practitioner 220 Pawtucket St Suite 300, University Crossing, Lowell, MA 01854 2009-03-12
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Taxonomy Information

Taxonomy Code 103TC0700X
Grouping Behavioral Health & Social Service Providers
Classification Psychologist
Specialization Clinical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1689166852 Alice Andrea Frye Psychologist 113 Wilder St Ste 300, Lowell, MA 01854-3057 2018-06-04
1063585826 Belinda Lewis Hubert Phd, Fppr, Inc Psychologist 17317 White Oak Ave, Lowell, IN 46356-9411 2006-11-17
1659365146 Le My Doan II Psychologist 77 E Merrimack St, 23, Lowell, MA 01852-1251 2005-09-12
1700368578 Danielle Umland Randall Psychologist 519 Latham Dr, Lowell, AR 72745-8360 2018-08-29
1275886806 Elisabeth Anne Parrott Psychologist 10 George St, Lowell, MA 01852-2241 2012-10-19
1215183280 Tara M Cole Psychologist 515 Enterprise Dr Ste 300, Lowell, AR 72745 2008-08-11
1316116742 Belinda Lewis Hubert Psychologist 17317 White Oak Ave, Lowell, IN 46356-9411 2008-02-29
1689709032 Gary Brett Gastman Psychologist 35 Market St, 2nd Floor, Lowell, MA 01852-1805 2007-02-23
1780741561 Marlene J Davis Psychologist 45 Merrimack St, Suite 200, Lowell, MA 01852-1729 2007-01-02
1073674420 Choate Health Management Psychologist 391 Varnum Ave, Lowell, MA 01854-2119 2006-12-12
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Competitor

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City LOWELL
Zip Code 01854

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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