DR. ETHAN EISDORFER, PSYD
Psychologist - Clinical
Active
Individual
NPI: 1083864946
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Psychologist - Clinical | 103TC0700X | Yes | 11368 (MA) |
Frequently Asked Questions
NPI 1083864946 is the National Provider Identifier for DR. ETHAN EISDORFER, PSYD, a Psychologist - Clinical provider located in Worcester, MA. This NPI was enumerated on September 26, 2008.
DR. ETHAN EISDORFER, PSYD practices at 55 LAKE AVE N, Worcester, MA 01655.
Quick Facts
- NPI
- 1083864946
- Type
- Individual
- Enumerated
- Sep 26, 2008
- Last Updated
- Mar 5, 2025
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