| Amethyst Integration Llc | |
|
10 Navarro Circle Medford MA 02155 | |
| (617) 286-2816 | |
| Not Available |
| Full Name | Amethyst Integration Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 10 Navarro Circle, Medford, Massachusetts |
| Authorized Official Name and Position | Elizabeth Barch (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6172862816 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amethyst Integration Llc 51 Pleasant St # 258 Malden MA 02148-4904 Ph: (617) 286-2816 | Amethyst Integration Llc 10 Navarro Circle Medford MA 02155 Ph: (617) 286-2816 |
| NPI Number | 1326807249 |
|---|---|
| Provider Enumeration Date | 03/14/2024 |
| Last Update Date | 03/14/2024 |
| Certification Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326807249 | NPI | - | NPPES |
| 1679914147 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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