Bryan Edward Mcmullen Harter, MBA, LICSW | |
15 Dexter Ln, Wakefield, MA 01880-2031 | |
(617) 817-3433 | |
Not Available |
Full Name | Bryan Edward Mcmullen Harter |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 15 Dexter Ln, Wakefield, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1679054803 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 114662 (Massachusetts) | Primary |
Entity Name | Lahey Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538194980 PECOS PAC ID: 2264336528 Enrollment ID: O20031120000097 |
Entity Name | Lahey Clinic Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063447316 PECOS PAC ID: 2264336528 Enrollment ID: O20040629001269 |
Entity Name | Northeast Behavioral Health Corporation |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154302586 PECOS PAC ID: 0446155808 Enrollment ID: O20100817000286 |
Mailing Address | Practice Location Address |
---|---|
Bryan Edward Mcmullen Harter, MBA, LICSW 15 Dexter Ln, Wakefield, MA 01880-2031 Ph: (617) 817-3433 | Bryan Edward Mcmullen Harter, MBA, LICSW 15 Dexter Ln, Wakefield, MA 01880-2031 Ph: (617) 817-3433 |
Danielle M Caggiano, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 338 Main St, Suite 304, Wakefield, MA 01880 Phone: 781-246-2003 | |
Roxcy Platte, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 599 North Ave, Door 8, Wakefield, MA 01880 Phone: 781-246-0900 Fax: 781-631-9525 | |
Mrs. Marjorie Pearson, L.I.C.S.W. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 338 Main St, Wakefield, MA 01880 Phone: 781-246-2010 | |
Mrs. Audrey J Reffie, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 338 Main St Ste 203, Wakefield, MA 01880 Phone: 781-246-2010 | |
Anne Lawrence, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 76 Chestnut St, Wakefield, MA 01880 Phone: 781-910-0067 | |
Mary Karen Eisner, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Lassell St, Wakefield, MA 01880 Phone: 781-246-3227 | |
Michelle Lynne Butman Collins, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7 Lincoln St Ste 216, Wakefield, MA 01880 Phone: 781-328-1904 |