Organization
CHLOE GREENBAUM, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHLOE ALEXA GREENBAUM PHD (LICENSED PSYCHOLOGIST)
(617) 807-0773
Entity
Organization
Contact information
Practice address
872 MASSACHUSETTS AVENUE, SUITE 2-1, CAMBRIDGE, MA 02139
(617) 807-0773
Mailing address
872 MASSACHUSETTS AVENUE, SUITE 2-1, CAMBRIDGE, MA 02139
(914) 420-7166
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1104358696
NPI ENTITY TYPE I
—
Enumeration date
05/31/2020
Last updated
05/31/2020
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