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Daniel Rutrick, Md, Pc
Prescribing (Medical) Psychologist in Everett, Massachusetts
NPI 1336341502

Daniel Rutrick, Md, Pc is a Prescribing (Medical) Psychologist based in Everett, MA and is specialized in Prescribing (Medical). Daniel Rutrick, Md, Pc practices in Everett, MA. The NPI Number for Daniel Rutrick, Md, Pc is 1336341502 and holds a License No. 36462 (Massachusetts).

The current practice location address for Daniel Rutrick, Md, Pc is 617 Broadway, Everett, MA and can be reached out via phone at 617-387-2220 and via fax at 617-394-0538.

Location: 617 Broadway, Everett, MA, 02149-3712
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336341502
Provider Name
Daniel Rutrick, Md, Pc
Credential
Provider Entity Type
Organization
Address
617 Broadway, Everett, MA, 02149-3712
Phone Number
617-387-2220
Fax Number
617-394-0538
Provider Enumeration Date
06/01/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M13835 01 MA BLUE CROSS BLUE SHIELD
036462 01 MA TUFTS GROUP NUMBER
500019 01 MA TUFTS PSYCHOLOGIST NUMBER
500064 01 MA TUFTS CERTIFIED NURSE
institution
Provider Business Practice Location Address Details
Address
617 Broadway
City
Everett
State
Massachusetts
Zip
02149-3712
Phone Number
617-387-2220
Fax Number
617-394-0538
person
Provider Business Mailing Address Details
Address
617 Broadway
City
Everett
State
Massachusetts
Zip
02149-3712
Phone Number
617-387-2220
Fax Number
617-394-0538
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
36462 (Massachusetts)
Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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