Provider Demographics
NPI:1366715765
Name:SCHLOSBERG, PAUL (MA)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:
Last Name:SCHLOSBERG
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:485 NANTASKET AVE
Mailing Address - Street 2:UNIT C
Mailing Address - City:HULL
Mailing Address - State:MA
Mailing Address - Zip Code:02045-2556
Mailing Address - Country:US
Mailing Address - Phone:781-925-2423
Mailing Address - Fax:
Practice Address - Street 1:485 NANTASKET AVE
Practice Address - Street 2:UNIT C
Practice Address - City:HULL
Practice Address - State:MA
Practice Address - Zip Code:02045-2556
Practice Address - Country:US
Practice Address - Phone:781-925-2423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-15
Last Update Date:2012-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health