Soren R. Ekstrom, INC.
Psychologist, Clinical in Watertown, Massachusetts
1134421902- Practice location
- 29 Chester St, Watertown, MA 02472-4002
- Phone
- 617-923-6086
- Fax
- —
- Last updated
- November 29, 2010
Soren R. Ekstrom, INC. is a healthcare organization based in Watertown, MA. Soren R. Ekstrom, INC. practices in Watertown, MA. The NPI Number for Soren R. Ekstrom, INC. is 1134421902 and holds a License No. 3505 (MA). The current practice location address for Soren R. Ekstrom, INC. is 29 Chester St, Watertown, MA 02472-4002 and can be reached out via phone at 617-923-6086.
Provider Profile Details
- NPI Number
- 1134421902
- Provider Name
- Soren R. Ekstrom, INC.
- Provider Entity Type
- Organization
- Address
- 29 Chester St, Watertown, MA 02472-4002
- Phone Number
- 617-923-6086
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Dr. Soren R. Ekstrom, PHD · Sole Propietor · 617-923-6086
- Provider Enumeration Date
- November 29, 2010
- Last Update Date
- November 29, 2010
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 29 Chester St
Watertown, MA 02472-4002 - City
- Watertown
- State
- Massachusetts
- Zip
- 02472-4002
- Phone Number
- 617-923-6086
Provider Business Mailing Address Details
- Address
- 29 Chester St
Watertown, MA 02472-4002 - City
- Watertown
- State
- MA
- Zip
- 02472-4002
- Phone Number
- 617-923-6086
License Information
- License Number
- 3505
- License State
- MA
- Taxonomy
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Soren R. Ekstrom, INC.?
The NPI number of Soren R. Ekstrom, INC. is 1134421902. It was assigned on November 29, 2010 and is currently active in the NPPES registry.
What is the specialty of Soren R. Ekstrom, INC.?
Soren R. Ekstrom, INC. is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 3505.
Where does Soren R. Ekstrom, INC. practice?
The practice location is 29 Chester St, Watertown, MA 02472-4002. The office can be reached at 617-923-6086 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1134421902 directly on the NPPES registry website.