| Bending Reeds Counseling, Llc | |
|
77 Valley Road Southampton MA 01073-9532 | |
| (413) 341-0342 | |
| (866) 277-1901 |
| Full Name | Bending Reeds Counseling, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 77 Valley Road, Southampton, Massachusetts |
| Authorized Official Name and Position | Thomas Robert Wahlund (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 4133410342 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bending Reeds Counseling, Llc 77 Valley Road Southampton MA 01073-9532 Ph: (413) 341-0342 | Bending Reeds Counseling, Llc 77 Valley Road Southampton MA 01073-9532 Ph: (413) 341-0342 |
| NPI Number | 1710333018 |
|---|---|
| Provider Enumeration Date | 05/05/2016 |
| Last Update Date | 09/15/2021 |
| Certification Date | 09/15/2021 |
| Medicare PECOS PAC ID | 5991096729 |
|---|---|
| Medicare Enrollment ID | O20160624000814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710333018 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 10355 (Massachusetts) | Primary |
| Provider Name | Thomas Robert Wahlund |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1881823037 PECOS PAC ID: 6800187634 Enrollment ID: I20160624000956 |
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