| Atlantic Assessment Pllc | |
|
9 Elm St. Cohasset MA 02025 | |
| (781) 923-0035 | |
| Not Available |
| Full Name | Atlantic Assessment Pllc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 9 Elm St., Cohasset, Massachusetts |
| Authorized Official Name and Position | Lauren Chisholm (OWNER) |
| Authorized Official Contact | 7819230035 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atlantic Assessment Pllc Po Box 283 Cohasset MA 02025-0283 Ph: (781) 923-0035 | Atlantic Assessment Pllc 9 Elm St. Cohasset MA 02025 Ph: (781) 923-0035 |
| NPI Number | 1558053793 |
|---|---|
| Provider Enumeration Date | 05/25/2023 |
| Last Update Date | 05/25/2023 |
| Certification Date | 05/16/2023 |
| Medicare PECOS PAC ID | 7012377070 |
|---|---|
| Medicare Enrollment ID | O20230721002381 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558053793 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | (* (Not Available)) | Primary |
| Provider Name | Lauren Z Chisholm |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164870598 PECOS PAC ID: 4688967565 Enrollment ID: I20160729001740 |
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