Provider Demographics
NPI:1275627515
Name:SINGER, BEVERLY (PSYD)
Entity type:Individual
Prefix:DR
First Name:BEVERLY
Middle Name:
Last Name:SINGER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:368 ELLIOT ST.
Mailing Address - Street 2:#4
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02464
Mailing Address - Country:US
Mailing Address - Phone:617-847-1939
Mailing Address - Fax:
Practice Address - Street 1:ONE ADAMS PLACE, 859 WILLARD ST
Practice Address - Street 2:SUITE 430
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02464
Practice Address - Country:US
Practice Address - Phone:617-847-1939
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7522103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical