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Individual

DR. MARTHA MARKOWITZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
93 UNION ST, SUITE 305C, NEWTON, MA 02459-2244
(617) 527-8124
Mailing address
178 BELLEVUE ST, NEWTON, MA 02458-1813
(617) 527-8124

Taxonomy

Speciality
Code
Description
License number
State
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
4366
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
W04239
PROVIDER NUMBER FOR BCBS
MA
Enumeration date
09/17/2006
Last updated
07/08/2007
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