Basic Information
| Provider Information | |||||||||
| NPI: | 1366549909 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | INGBER | ||||||||
| FirstName: | SELMA | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MSW | ||||||||
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| Mailing Information | |||||||||
| Address1: | PO BOX 313 | ||||||||
| Address2: | |||||||||
| City: | COHASSET | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020250313 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7813830860 | ||||||||
| FaxNumber: | 7813831239 | ||||||||
| Practice Location | |||||||||
| Address1: | 223 CHIEF JUSTICE CUSHING HWY | ||||||||
| Address2: | STE 204 | ||||||||
| City: | COHASSET | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020251391 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7813830860 | ||||||||
| FaxNumber: | 7813831239 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/17/2006 | ||||||||
| LastUpdateDate: | 10/19/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 101413 | MA | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.