Individual
ANDREA REBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.I.C.S.W.
Contact information
Practice address
65 FRANKLIN ST, NORTHAMPTON, MA 01060
(413) 584-3556
Mailing address
40 WASHINGTON AVE, NORTHAMPTON, MA 01060-2823
(413) 584-3556
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
1020289
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1893505
—
MA
05
—
32862
—
MA
01
—
P06088
BLUE CROSS BLUE SHIELD
MA
Enumeration date
11/24/2006
Last updated
11/26/2018
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