Organization
GESTALT INSTITUTE OF NEW ENGLAND INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEE GELTMAN MA IN CLINICAL PSYCH (PRESIDENT)
(617) 764-2009
Entity
Organization
Contact information
Practice address
240 A ELM ST., JOURNEY WOMEN, SOMERVILLE, MA 02144
(617) 764-2009
Mailing address
80 WINSLOW AVENUE, UNIT 2E, SOMERVILLE, MA 02144-2556
(617) 764-2009
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
1041C0700X
Clinical Social Worker
—
—
106H00000X
Marriage & Family Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
717059
TUFTS HEALTH PLAN MEDICAR
MA
01
—
GEW10063
BLUE CROSS BLUE SHIELD
MA
Enumeration date
01/30/2007
Last updated
10/24/2008
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