Individual
DR. LYDIA BAUMRIND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1415 BEACON ST, #124, BROOKLINE, MA 02446
(617) 739-9085
Mailing address
1415 BEACON ST, #124, BROOKLINE, MA 02446
(617) 739-9085
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
W03567
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
003257
HARVARD PILGRIM
—
01
—
35032000
INSURANCE MAGELLAN
MA
01
—
W03567
MA LICENSE
MA
Enumeration date
08/24/2006
Last updated
07/09/2007
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