| Ashmont Counseling Associates Llc | |
|
172 Ashmont St Dorchester Center MA 02124-3745 | |
| (617) 224-7289 | |
| (617) 288-2992 |
| Full Name | Ashmont Counseling Associates Llc |
|---|---|
| Speciality | Psychologist |
| Location | 172 Ashmont St, Dorchester Center, Massachusetts |
| Authorized Official Name and Position | Martin Randy Pierre (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 6172247289 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ashmont Counseling Associates Llc 172 Ashmont St Dorchester Center MA 02124-3745 Ph: (617) 224-7289 | Ashmont Counseling Associates Llc 172 Ashmont St Dorchester Center MA 02124-3745 Ph: (617) 224-7289 |
| NPI Number | 1003099417 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 12/20/2007 |
| Medicare PECOS PAC ID | 5991886731 |
|---|---|
| Medicare Enrollment ID | O20080117000377 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003099417 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 8761 (Massachusetts) | Primary |
| Provider Name | Dennis E Tyrell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1801809181 PECOS PAC ID: 5193728533 Enrollment ID: I20060919000025 |
| Provider Name | Martin R Pierre |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962698407 PECOS PAC ID: 3870674617 Enrollment ID: I20080117000417 |
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