MEDICARE: DR. AURORA SANFELIZ ED.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	8013	MA

General Provider Information

NPI Number	:	1588626006
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. AURORA SANFELIZ ED.D.

Provider Business Mailing Address
First Line	:	46 TOBEY RD
Second Line	:
City	:	BELMONT
State	:	MA
Zip	:	02478-4226
Country	:	US
Telephone Number	:	617-489-5579
Fax Number	:

Provider Business Practice Location Address
First Line	:	402 HIGHLAND AVE
Second Line	:
City	:	SOMERVILLE
State	:	MA
Zip	:	02144-2548
Country	:	US
Telephone Number	:	857-919-3308
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/03/2006
Last Update Date	:	07/08/2007

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