Acton Psychological Associates Llc | |
532 Great Rd Acton MA 01720-3415 | |
(508) 785-5518 | |
Not Available |
Full Name | Acton Psychological Associates Llc |
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Speciality | Psychologist |
Location | 532 Great Rd, Acton, Massachusetts |
Authorized Official Name and Position | Eleanor Kent Fulton (DIRECTOR/OWNER) |
Authorized Official Contact | 5087855518 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Acton Psychological Associates Llc 74 Meadowview Rd Groton MA 01450-1051 Ph: (508) 785-5518 | Acton Psychological Associates Llc 532 Great Rd Acton MA 01720-3415 Ph: (508) 785-5518 |
NPI Number | 1013419381 |
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Provider Enumeration Date | 03/02/2018 |
Last Update Date | 03/02/2018 |
Medicare PECOS PAC ID | 7214290741 |
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Medicare Enrollment ID | O20180417000136 |
Identifier | Type | State | Issuer |
---|---|---|---|
1013419381 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 7814 (Massachusetts) | Primary |
Provider Name | Eleanor K Fulton |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1285006734 PECOS PAC ID: 3678537172 Enrollment ID: I20160204001400 |
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