Provider Demographics
NPI:1568981744
Name:ECHEVERRY ALPERIN, BRENDA MARGOT (MA)
Entity type:Individual
Prefix:
First Name:BRENDA
Middle Name:MARGOT
Last Name:ECHEVERRY ALPERIN
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 SAMOSET ST APT 1
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02124-2571
Mailing Address - Country:US
Mailing Address - Phone:631-487-7511
Mailing Address - Fax:
Practice Address - Street 1:23 SAMOSET ST APT 1
Practice Address - Street 2:
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02124-2571
Practice Address - Country:US
Practice Address - Phone:631-487-7511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-19
Last Update Date:2024-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health