Provider / Organization | NPI | Date Certified |
---|---|---|
ALICE NICOLE SCHRUBA | 1770141319 | 2024-11-08 |
Alice Nicole Schruba is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1770141319. Registration indicates Alice Nicole Schruba is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Psychologist (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist Clinical, Behavioral Health & Social Service Providers) (Psychologist, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Psychologist) (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist Clinical, Behavioral Health & Social Service Providers) (Psychologist, )
Registration | PART-B:Y DME:Y HHA:N PMD:N |
Entity Type | Individual |
Provider Name | Dr. Alice Nicole Schruba PSYD |
Practice Office Address | 55 FRUIT ST BOSTON, MA US |
Practice Office Telephone | 8173716202 |
Mailing Address | 55 FRUIT ST BOSTON, MA 021142621 US |
Business Telephone | 8173716202 |
Code | Practice | License No State |
---|---|---|
103TC0700X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Clinical Behavioral Health/Substance Abuse/Psychiatry Psychologist Clinical Behavioral Health & Social Service Providers Psychologist | 071010042
IL |
103TC0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Clinical Behavioral Health/Substance Abuse/Psychiatry Psychologist Clinical Behavioral Health & Social Service Providers Psychologist | PSY10000636
MA |