Soren R. Ekstrom, Inc.
NPI #1134421902 in Watertown, Massachusetts
Provider Information
- NPI Number
- 1134421902
- Entity Type
- Organization
- Organization Name
- Soren R. Ekstrom, Inc.
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Nov 29, 2010
- Last Updated
- Nov 29, 2010
Practice Location
- Address
- 29 CHESTER ST
- City
- Watertown
- State
- Massachusetts
- ZIP Code
- 02472-4002
- Phone
- (617) 923-6086
Authorized Official
- Name
- DR. SOREN R. EKSTROM, PH.D.
- Title
- SOLE PROPIETOR
- Phone
- (617) 923-6086
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
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