NPI 1174698369 · live from the CMS NPI Registry
Stephanie A Adler, PhD
Psychologist, Health Service in Brookline, MA. National Provider Identifier 1174698369, active.
NPI record
| NPI | 1174698369 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Health Service 103TH0100X |
| Practice location | 1093 Beacon St, Suite 403, Brookline, MA 02446 |
| Practice phone | 617-731-8007 |
| Mailing address | 213 Jackson St, Newton, MA 02459 |
| Enumerated | November 22, 2006 |
| Last updated | April 12, 2011 |
| Sole proprietor | Yes |
| Other names | Stephanie Adler |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical | 103TC0700X | 2496 (MA) |
| Psychologist, Health Service primary | 103TH0100X | 2496 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.