Individual
MS. MARCIA DANA HUBERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21 RIDGE AVENUE, NEWTON CENTRE, MA 02459-2505
(617) 969-4937
Mailing address
21 RIDGE AVENUE, NEWTON CENTRE, MA 02459-2505
(617) 969-4937
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
386
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W06145
BLUE CROSS BLUE SHIELD MA
MA
Enumeration date
12/01/2006
Last updated
07/08/2007
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