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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
10766 | MA | Behavioral Health & Social Service Providers |
Street Address |
220 PAWTUCKET STREET SUITE 300 |
City | LOWELL |
State | MA |
Zip Code | 01854-5144 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1780224246 | Alexander C Mellin | Specialist/Technologist | Costello Athletic Center, 275 Riverside Street, Lowell, MA 01854 | 2020-01-13 |
1831656131 | Shaquilla U Terry | Behavior Technician | 810 Broadway St, Apt 5, Lowell, MA 01854 | 2019-02-23 |
1073010187 | John R Dunn | Counselor | Lowell House Inc, 555 Merrimack Street, Lowell, MA 01854 | 2018-04-06 |
1730604661 | Grecia Aybar | Counselor | 11 White Street, Lowell, MA 01854 | 2017-08-11 |
1659812550 | Krystal Demmons | Counselor | 371 Varnum Ave, Lowell, MA 01854 | 2017-03-13 |
1891115366 | Stacey Bourbeau | Counselor | 391 Varnum Avenue Lower Level, Lowell, MA 01854 | 2014-04-23 |
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 |
Find all providers in zip 01854 |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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 |
Find all providers in LOWELL |
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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.