Soren R Ekstrom, PHD
Psychologist, Clinical in Watertown, Massachusetts
1477763316- Practice location
- 29 Chester St, Watertown, MA 02472-4002
- Phone
- 617-923-6086
- Fax
- —
- Last updated
- July 8, 2007
Soren R. Ekstrom is a Psychologist, Clinical based in Watertown, MA. Soren R. Ekstrom practices in Watertown, MA and has the professional credentials of PHD. The NPI Number for Soren R. Ekstrom is 1477763316 and holds a License No. 3505 (MA). The current practice location address for Soren R. Ekstrom is 29 Chester St, Watertown, MA 02472-4002 and can be reached out via phone at 617-923-6086.
Provider Profile Details
- NPI Number
- 1477763316
- Provider Name
- Soren R. Ekstrom
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 29 Chester St, Watertown, MA 02472-4002
- Phone Number
- 617-923-6086
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- May 22, 2007
- Last Update Date
- July 8, 2007
- 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, PHD?
The NPI number of Soren R Ekstrom, PHD is 1477763316. It was assigned on May 22, 2007 and is currently active in the NPPES registry.
What is the specialty of Soren R Ekstrom, PHD?
Soren R Ekstrom, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 3505.
Where does Soren R Ekstrom, PHD 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 1477763316 directly on the NPPES registry website.