Individual
DR. MITCHELL ALLEN POMERANTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11 KENT ST # 2, BROOKLINE, MA 02445-7901
(617) 277-8107
Mailing address
11 KENT ST # 2, BROOKLINE, MA 02445-7901
(617) 277-8107
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
8198
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W10533
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
02/12/2006
Last updated
04/25/2018
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