Baystate Developmental Behavioral Pediatrics | |
50 Wason Ave 1st. Floor Springfield MA 01107-1274 | |
(413) 794-0316 | |
Not Available |
Full Name | Baystate Developmental Behavioral Pediatrics |
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Speciality | Psychologist |
Location | 50 Wason Ave, Springfield, Massachusetts |
Authorized Official Name and Position | Shannon Kay (CHIEF AND PEDIATRIC PSYCHOLOGIST) |
Authorized Official Contact | 4137940316 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Baystate Developmental Behavioral Pediatrics 50 Wason Ave 1st. Floor Springfield MA 01107-1274 Ph: () - | Baystate Developmental Behavioral Pediatrics 50 Wason Ave 1st. Floor Springfield MA 01107-1274 Ph: (413) 794-0316 |
NPI Number | 1881057800 |
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Provider Enumeration Date | 03/29/2016 |
Last Update Date | 03/29/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881057800 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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