Individual
DR. CAROLINE ROBINSON BALTZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
158 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4876
(617) 547-8040
(617) 547-8040
Mailing address
158 MOUNT AUBURN ST, CAMBRIDGE, MA 02138-4876
(617) 547-8040
(617) 547-8040
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
7404
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5725-01
PACIFICARE PROVIDER ID
MA
01
—
W05754
BCBSMA PROVIDER NUMBER
MA
Enumeration date
04/17/2007
Last updated
07/08/2007
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