Individual
DANIEL SHLEIFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 BURLINGTON RD, BEDFORD, MA 01730-1406
(617) 959-3584
Mailing address
205 BURLINGTON RD, BEDFORD, MA 01730-1406
(617) 959-3584
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1004745
NHP
MA
01
—
1303287
MBHP
MA
Enumeration date
09/20/2021
Last updated
09/20/2021
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