Individual
EDMUND CONRAD NEUHAUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
275 GROVE ST, SUITE 2-400, AUBURNDALE, MA 02466-2272
(617) 663-4948
(617) 663-4801
Mailing address
275 GROVE ST, SUITE 2-400, AUBURNDALE, MA 02466-2272
(617) 663-4948
(617) 663-4801
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4826
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W04593
BCBS
MA
Enumeration date
05/25/2006
Last updated
09/01/2009
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