Provider Demographics
NPI:1770983926
Name:WESTWOOD COUNSELING ASSOCIATES
Entity type:Organization
Organization Name:WESTWOOD COUNSELING ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRADFORD
Authorized Official - Middle Name:
Authorized Official - Last Name:BEDAR
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:781-449-0087
Mailing Address - Street 1:1253 GREAT PLAIN AVE
Mailing Address - Street 2:
Mailing Address - City:NEEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02492-1719
Mailing Address - Country:US
Mailing Address - Phone:781-449-0087
Mailing Address - Fax:781-449-8684
Practice Address - Street 1:1253 GREAT PLAIN AVE
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-1719
Practice Address - Country:US
Practice Address - Phone:781-449-0087
Practice Address - Fax:781-449-8684
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-08-25
Last Update Date:2014-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2779103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1871657650Medicare PIN