Active NPIIndividual providerSole proprietor

Marilyn Lisker Birnbaum, PHD

Psychologist, Clinical in Worcester, Massachusetts

NPI Number1619997947
Practice location
338 Highland St, C/O Newton Square Counseling Center, Worcester, MA 01602-2143
Fax
508-831-9967
Last updated
March 31, 2010

Marilyn Lisker Birnbaum is a Psychologist, Clinical based in Worcester, MA. Marilyn Lisker Birnbaum practices in Worcester, MA and has the professional credentials of PHD. The NPI Number for Marilyn Lisker Birnbaum is 1619997947 and holds a License No. 2530 (MA). The current practice location address for Marilyn Lisker Birnbaum is 338 Highland St, C/O Newton Square Counseling Center, Worcester, MA 01602-2143 and can be reached out via phone at 508-752-5880 and via fax at 508-831-9967.

Provider Profile Details

NPI Number
1619997947
Provider Name
Marilyn Lisker Birnbaum
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
338 Highland St, C/O Newton Square Counseling Center, Worcester, MA 01602-2143
Phone Number
508-752-5880
Fax Number
508-831-9967
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
July 20, 2006
Last Update Date
March 31, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
338 Highland St
C/O Newton Square Counseling Center
Worcester, MA 01602-2143
Zip
01602-2143
Phone Number
508-752-5880
Fax Number
508-831-9967
Worcester, MA 01602Get directions →

Provider Business Mailing Address Details

Address
338 Highland St
C/O Newton Square Counseling Center
Worcester, MA 01602-2143
City
Worcester
State
MA
Zip
01602-2143
Phone Number
508-752-5880

License Information

License Number
2530
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Marilyn Lisker Birnbaum, PHD?

The NPI number of Marilyn Lisker Birnbaum, PHD is 1619997947. It was assigned on July 20, 2006 and is currently active in the NPPES registry.

What is the specialty of Marilyn Lisker Birnbaum, PHD?

Marilyn Lisker Birnbaum, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 2530.

Where does Marilyn Lisker Birnbaum, PHD practice?

The practice location is 338 Highland St, C/O Newton Square Counseling Center, Worcester, MA 01602-2143. The office can be reached at 508-752-5880 (phone) or 508-831-9967 (fax).

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 1619997947 directly on the NPPES registry website.

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