Hope Koram, | |
15 Carberry St, Medford, MA 02155-1804 | |
(617) 756-6267 | |
Not Available |
Full Name | Hope Koram |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 15 Carberry St, Medford, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1033768718 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Sb Transitional Sub Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1962091173 PECOS PAC ID: 7911315379 Enrollment ID: O20210423000601 |
Mailing Address | Practice Location Address |
---|---|
Hope Koram, 15 Carberry St, Medford, MA 02155-1804 Ph: (617) 756-6267 | Hope Koram, 15 Carberry St, Medford, MA 02155-1804 Ph: (617) 756-6267 |
Ms. Socorro Ching, Counselor Medicare: Not Enrolled in Medicare Practice Location: 523 Winthrop St, Medford, MA 02155 Phone: 781-395-3822 | |
Miss Melissa Wood, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 151 Mystic Ave, Medford, MA 02155 Phone: 781-396-1199 Fax: 781-396-1439 | |
Barbara Joan Katz, M.ED. Counselor Medicare: Not Enrolled in Medicare Practice Location: 10 Cabot Road, Suite 209, Medford, MA 02155 Phone: 781-395-0625 Fax: 781-395-0198 | |
Jill N Dubendris, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5 Park St, Medford, MA 02155 Phone: 508-212-0299 | |
Mr. Jonathan Joseph Donahue, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 0 Governors Ave, Suite 20, Medford, MA 02155 Phone: 781-395-3086 Fax: 781-395-3086 | |
Rosa Espiritusanto, Counselor Medicare: Not Enrolled in Medicare Practice Location: 42 High St, Medford, MA 02155 Phone: 781-760-9974 |