Provider Demographics
NPI:1083620108
Name:ARONSON, ERIC R (PSYD)
Entity Type:Individual
Prefix:DR
First Name:ERIC
Middle Name:R
Last Name:ARONSON
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 CHELMSFORD ST
Mailing Address - Street 2:
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824-2307
Mailing Address - Country:US
Mailing Address - Phone:978-256-1467
Mailing Address - Fax:978-256-7465
Practice Address - Street 1:201 CHELMSFORD ST
Practice Address - Street 2:
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824-2307
Practice Address - Country:US
Practice Address - Phone:978-256-1467
Practice Address - Fax:978-256-7465
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7282103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW05736OtherBCBS
MA1102303Medicaid
MAARW51482Medicare ID - Type Unspecified
MAW05736OtherBCBS