Most Relevant Information
Provider Data
| NPI Number: | 1003000910 |
| Provider Name: | MARTHA BROWNSTEIN BASS LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 1022489 |
Most Important Dates
| Enumeration Date: | 09/04/2007 |
| Last Updated: | 09/04/2007 |
Provider Practice Location
16 WAYLAND HILLS RD
WAYLAND
MA
017783810
Practice Location Phone/Fax
| Phone: | 5086530451 |
| Fax: | 5086536094 |
Provider Mailing Location
16 WAYLAND HILLS RD
WAYLAND
MA
017783810
Provider Mailing Phone/Fax
| Phone: | 5086530451 |
| Fax: | 5086536094 |