Paul Dever Fitzgerald, | |
900 Washington St, Canton, MA 02021-2574 | |
(817) 820-5050 | |
Not Available |
Full Name | Paul Dever Fitzgerald |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 900 Washington St, Canton, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811316904 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 10000016 (Massachusetts) | Secondary |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Northeast Health Services Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1225067481 PECOS PAC ID: 6901866706 Enrollment ID: O20041015000643 |
Mailing Address | Practice Location Address |
---|---|
Paul Dever Fitzgerald, 900 Washington St, Canton, MA 02021-2574 Ph: (781) 821-5050 | Paul Dever Fitzgerald, 900 Washington St, Canton, MA 02021-2574 Ph: (817) 820-5050 |
Brad N Tofias, CASE MANAGER Counselor Medicare: Not Enrolled in Medicare Practice Location: 3 Meyer Ter, Canton, MA 02021 Phone: 781-828-1797 | |
Mrs. Shannon Marie Delaney, LCSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 22 Concord Ave, Canton, MA 02021 Phone: 781-247-3118 Fax: 781-562-0177 | |
Bridgette Dede Sarblah, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Wellness Way, Canton, MA 02021 Phone: 781-612-1000 | |
Nicole Jordan, L.M.H.C Counselor Medicare: Not Enrolled in Medicare Practice Location: 8 Shore Dr, Canton, MA 02021 Phone: 339-206-3403 | |
Jina Guimond, Counselor Medicare: Not Enrolled in Medicare Practice Location: 55 Pecunit St, Canton, MA 02021 Phone: 781-821-5070 | |
Janice Marie Mccarthy, LICSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 12 Old Meadow Ln, Canton, MA 02021 Phone: 781-828-7434 | |
Hannah Lima, Counselor Medicare: Not Enrolled in Medicare Practice Location: 960 Turnpike St, Canton, MA 02021 Phone: 781-767-7737 |