Provider Demographics
NPI:1124900758
Name:LINZER, MAX ZLOCHOWER
Entity type:Individual
Prefix:
First Name:MAX
Middle Name:ZLOCHOWER
Last Name:LINZER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:KASRIEL
Other - Middle Name:
Other - Last Name:LINZER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:19 CYPRESS ST
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-2601
Mailing Address - Country:US
Mailing Address - Phone:347-443-1428
Mailing Address - Fax:
Practice Address - Street 1:1501 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BRAINTREE
Practice Address - State:MA
Practice Address - Zip Code:02184-7599
Practice Address - Country:US
Practice Address - Phone:617-847-1950
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-24
Last Update Date:2025-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist