Provider Demographics
NPI:1588626006
Name:SANFELIZ, AURORA (EDD)
Entity Type:Individual
Prefix:DR
First Name:AURORA
Middle Name:
Last Name:SANFELIZ
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 TOBEY RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-4226
Mailing Address - Country:US
Mailing Address - Phone:617-489-5579
Mailing Address - Fax:
Practice Address - Street 1:402 HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02144-2548
Practice Address - Country:US
Practice Address - Phone:857-919-3308
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8013103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MASAW51106Medicare ID - Type UnspecifiedPSYCHOLOGIST