Amanda Cooper, | |
42 Wright Street, Palmer, MA 01069-1156 | |
(413) 284-5285 | |
(413) 284-5384 |
Full Name | Amanda Cooper |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 42 Wright Street, Palmer, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114286846 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Baystate Wing Hospital Corporation |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962410233 PECOS PAC ID: 9335048321 Enrollment ID: O20040511000400 |
Mailing Address | Practice Location Address |
---|---|
Amanda Cooper, 280 Chestnut St, 2nd Floor, Springfield, MA 01107-1930 Ph: (413) 794-5700 | Amanda Cooper, 42 Wright Street, Palmer, MA 01069-1156 Ph: (413) 284-5285 |
Thomas C Levy, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 42 Wright Street, Wing Memorial Hospital Griswold Center, Palmer, MA 01069 Phone: 413-370-5285 Fax: 413-370-5384 | |
Jennifer Castonguay, M.ED Counselor Medicare: Medicare Enrolled Practice Location: 40 Wright St, Palmer, MA 01069 Phone: 413-967-2040 Fax: 413-967-2044 | |
Ashlee Marie Wansick, Counselor Medicare: Not Enrolled in Medicare Practice Location: 94 Stimson St, Palmer, MA 01069 Phone: 413-244-0011 | |
Mrs. Jessica Rose Burgess-wise, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Wright Street, Wing Memorial Hospital Griswold Center, Palmer, MA 01069 Phone: 413-284-5285 Fax: 413-284-5384 | |
Kimberly Stella, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1581 N Main St, Palmer, MA 01069 Phone: 413-283-3267 | |
Patricia Roberts, LADC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1089 Park St, Palmer, MA 01069 Phone: 774-232-8609 |