Provider Demographics
NPI:1346325867
Name:HABERMAN, REBECCA P (LMHC, CRC)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:P
Last Name:HABERMAN
Suffix:
Gender:F
Credentials:LMHC, CRC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 EMERSON RD.
Mailing Address - Street 2:
Mailing Address - City:NORTHBORO
Mailing Address - State:MA
Mailing Address - Zip Code:01532-2709
Mailing Address - Country:US
Mailing Address - Phone:508-393-5243
Mailing Address - Fax:
Practice Address - Street 1:79 BARTLETT ST.
Practice Address - Street 2:
Practice Address - City:NORTHBORO
Practice Address - State:MA
Practice Address - Zip Code:01532
Practice Address - Country:US
Practice Address - Phone:508-351-7010
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA040860101Y00000X
MA5430101YM0800X
MA369478101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101Y00000XBehavioral Health & Social Service ProvidersCounselor
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool