Provider Demographics
NPI:1609689892
Name:MICHELLE ESTERBERG PHD LLC
Entity type:Organization
Organization Name:MICHELLE ESTERBERG PHD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MICHELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:ESTERBERG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:781-907-0570
Mailing Address - Street 1:12 ESSEX STREET
Mailing Address - Street 2:SUITE 6
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810
Mailing Address - Country:US
Mailing Address - Phone:978-219-4888
Mailing Address - Fax:
Practice Address - Street 1:12 ESSEX STREET
Practice Address - Street 2:SUITE 6
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810
Practice Address - Country:US
Practice Address - Phone:978-219-4888
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health