Individual
MARILYN LISKER BIRNBAUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
338 HIGHLAND ST, C/O NEWTON SQUARE COUNSELING CENTER, WORCESTER, MA 01602-2143
(508) 752-5880
(508) 831-9967
Mailing address
338 HIGHLAND ST, C/O NEWTON SQUARE COUNSELING CENTER, WORCESTER, MA 01602-2143
(508) 752-5880
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2530
MA
Other
Enumeration date
07/20/2006
Last updated
03/31/2010
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