Thomas R Kelleher, LMFT | |
10 Gove St, East Boston, MA 02128-1920 | |
(617) 569-5800 | |
(617) 568-4780 |
Full Name | Thomas R Kelleher |
---|---|
Gender | Male |
Speciality | Marriage & Family Therapist |
Location | 10 Gove St, East Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1801973987 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | 664 (Maryland) | Primary |
Entity Name | Internal Medical Associates-ebnhc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
Entity Name | East Boston Neighborhood Health Center Corp |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045 |
Mailing Address | Practice Location Address |
---|---|
Thomas R Kelleher, LMFT 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 | Thomas R Kelleher, LMFT 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 |
Ms. Barbara Ellen Britton, MS,LCSW, LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 14 Porter St, East Boston, MA 02128 Phone: 617-569-3189 Fax: 617-569-7890 | |
Mr. Jeffrey Johnson, M.S. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 73 Saint Andrew Road, East Boston, MA 02128 Phone: 781-331-4015 |