BRANDEIS UNIVERSITY

NPI: 1669689014 · Organization · Active

Primary Specialty

Psychologist

Practice Location

MS 061, 415 SOUTH ST
WALTHAM, MA 02454-9110 Map ↗
Phone: 781-736-3730
Fax: 781-736-3731

Mailing Address

MS 061, 415 SOUTH ST
P.O. BOX 549110
WALTHAM, MA 02454-9110 Map ↗
Phone: 781-736-3730
Fax: 781-736-3731

Used for billing & correspondence; clinical visits at the Practice Location above.

All Specialties & Licenses

  • Psychologist Primary
  • Mental Health Counselor — Mental Health
  • Clinical Psychologist — Clinical
  • Counseling Psychologist — Counseling
  • Prescribing (Medical) Psychologist — Prescribing (Medical)
  • Clinical Social Worker — Clinical

NPI Registration

Enumerated: 2007-05-16

Last CMS Update: 2025-09-11