| |
18 Dover St Unit 10 Norwell MA 02061-0305 | |
(508) 296-0875 | |
(855) 929-5544 |
Full Name | |
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Speciality | Psychiatry & Neurology - Psychiatry |
Location | 18 Dover St Unit 10, Norwell, Massachusetts |
Authorized Official Name and Position | Joanne St John (PRACTICE OWNER) |
Authorized Official Contact | 5082960875 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 10 Norwell MA 02061-0010 Ph: () - | 18 Dover St Unit 10 Norwell MA 02061-0305 Ph: (508) 296-0875 |
NPI Number | 1043933401 |
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Provider Enumeration Date | 09/21/2022 |
Last Update Date | 10/11/2023 |
Certification Date | 09/18/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043933401 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Primary |
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