Provider Demographics
NPI:1528204120
Name:ROSENFELD, NAOMI (LHMC)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:ROSENFELD
Suffix:
Gender:F
Credentials:LHMC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:543 MASS AVE
Mailing Address - Street 2:OMR
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-2901
Mailing Address - Country:US
Mailing Address - Phone:978-264-0160
Mailing Address - Fax:
Practice Address - Street 1:543 MASS AVE
Practice Address - Street 2:OMR
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-2901
Practice Address - Country:US
Practice Address - Phone:978-264-0160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-02
Last Update Date:2009-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2018101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health