Dr Mindy Sue Kopolow, MA, PSYD is a
Psychologist - Clinical based in Woburn, Massachusetts. Dr Mindy Sue Kopolow is licensed to practice in Massachusetts (license number 8603) and her current practice location is
400 W Cummings Park, Suite 3400, Woburn, Massachusetts. She can be reached at her office (for appointments etc.) via phone at
(617) 972-5055.
NPI number for Dr Mindy Sue Kopolow is 1053583120 and her current mailing address is 400 W Cummings Park, Suite 3400, Woburn, Massachusetts. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1053583120.
Healthcare Provider's Profile
| Full Name | Dr Mindy Sue Kopolow |
|---|
| Gender | Female |
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| Speciality | Psychologist - Clinical |
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| Location | 400 W Cummings Park, Woburn, Massachusetts |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053583120
- Provider Enumeration Date: 03/29/2008
- Last Update Date: 04/04/2013
Medical Identifiers
Medical identifiers for Dr Mindy Sue Kopolow such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053583120 | NPI | - | NPPES |
| 54439 | Other | FL | BCBS OF FLORIDA |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 851 (Massachusetts) | Secondary |
| 103TC0700X | Psychologist - Clinical | 8603 (Massachusetts) | Primary |
| 103TC0700X | Psychologist - Clinical | PY5819 (Florida) | Secondary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mindy Sue Kopolow is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mindy Sue Kopolow, MA, PSYD
400 W Cummings Park, Suite 3400,
Woburn, MA 01801-6519
Ph: (617) 972-5055 | Dr Mindy Sue Kopolow, MA, PSYD
400 W Cummings Park, Suite 3400,
Woburn, MA 01801-6519
Ph: (617) 972-5055 |
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