| Activmatters Of The Brain Llc | |
|
421 Merrimack St Ste 203 Methuen MA 01844-5864 | |
| (978) 655-7155 | |
| Not Available |
| Full Name | Activmatters Of The Brain Llc |
|---|---|
| Speciality | Clinic/center - Research |
| Location | 421 Merrimack St Ste 203, Methuen, Massachusetts |
| Authorized Official Name and Position | Terry L Stubbs (CEO) |
| Authorized Official Contact | 6033198863 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Activmatters Of The Brain Llc 421 Merrimack St Ste 203 Methuen MA 01844-5864 Ph: (978) 655-7155 | Activmatters Of The Brain Llc 421 Merrimack St Ste 203 Methuen MA 01844-5864 Ph: (978) 655-7155 |
| NPI Number | 1386245546 |
|---|---|
| Provider Enumeration Date | 11/04/2020 |
| Last Update Date | 04/28/2021 |
| Certification Date | 01/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386245546 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 261QR1100X | Clinic/center - Research | (* (Not Available)) | Primary |
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