Individual
DR. ISAAC GREENBERG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
94 PLEASANT ST, ARLINGTON, MA 02476-6535
(781) 862-9173
Mailing address
PO BOX 591, LEXINGTON, MA 02420-0005
(781) 862-9173
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY1628-PR
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0504106
—
MA
01
—
PY1628-PR
HEALTH PROVIDER LICENSE
MA
Enumeration date
06/16/2005
Last updated
07/08/2007
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