Provider Demographics
NPI:1437226412
Name:ERKUT, SUMRU (PHD)
Entity Type:Individual
Prefix:DR
First Name:SUMRU
Middle Name:
Last Name:ERKUT
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 LOWELL AVE
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02460-2149
Mailing Address - Country:US
Mailing Address - Phone:781-283-2533
Mailing Address - Fax:781-283-3645
Practice Address - Street 1:367 LOWELL AVE
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02460-2149
Practice Address - Country:US
Practice Address - Phone:781-283-2533
Practice Address - Fax:781-283-3645
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2115103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist