Provider Demographics
NPI:1750411641
Name:DULBERG, DEBI (MSW PSYD)
Entity type:Individual
Prefix:DR
First Name:DEBI
Middle Name:
Last Name:DULBERG
Suffix:
Gender:F
Credentials:MSW PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1680A BEACON STREET
Mailing Address - Street 2:
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445-2101
Mailing Address - Country:US
Mailing Address - Phone:617-734-5770
Mailing Address - Fax:617-734-0964
Practice Address - Street 1:1680A BEACON STREET
Practice Address - Street 2:
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02445-2101
Practice Address - Country:US
Practice Address - Phone:617-734-5770
Practice Address - Fax:617-734-0964
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAW072103T00000X, 103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103T00000XBehavioral Health & Social Service ProvidersPsychologist
Not Answered103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical