Healthcare Provider Details
I. General information
NPI: 1609689892
Provider Name (Legal Business Name): MICHELLE ESTERBERG PHD LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/30/2025
Last Update Date: 08/06/2025
Certification Date: 08/06/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
18 PEARL RD
BOXFORD MA
01921-1203
US
IV. Provider business mailing address
PO BOX 103
BOXFORD MA
01921-0103
US
V. Phone/Fax
- Phone: 781-907-0570
- Fax:
- Phone: 781-907-0570
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QM0850X |
| Taxonomy | Adult Mental Health Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MICHELLE
ESTERBERG
Title or Position: PSYCHOLOGIST
Credential: PHD
Phone: 781-907-0570