Christine Baze, LMFT

Individual provider Active NPI Marriage & Family Therapist · Salem, MA

NPI 1659617785 · NPPES record last updated Dec 18, 2012

Key facts

NPI
1659617785
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
1151 (MA)
Practice address
57 Highland Ave
Salem, MA 01970-2141
Phone
(978) 741-1215
NPI assigned
Dec 18, 2012
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 1151 MA Yes

Addresses

Primary practice location

57 Highland Ave
Salem, MA 01970-2141

Mailing address

57 Highland Ave
Salem, MA 01970-2141
Phone (978) 741-1215

Other providers in Salem, MA

All providers in Salem, MA · Marriage & Family Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.