| C & C Psychiatry Llc | |
|
10 Purchase St Ste 301 Fall River MA 02720-3100 | |
| (774) 644-2254 | |
| Not Available |
| Full Name | C & C Psychiatry Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 10 Purchase St Ste 301, Fall River, Massachusetts |
| Authorized Official Name and Position | Karen Cadwalader (OWNER) |
| Authorized Official Contact | 7746442254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| C & C Psychiatry Llc 87 Kay St Newport RI 02840-2843 Ph: (774) 644-2254 | C & C Psychiatry Llc 10 Purchase St Ste 301 Fall River MA 02720-3100 Ph: (774) 644-2254 |
| NPI Number | 1104480243 |
|---|---|
| Provider Enumeration Date | 04/24/2019 |
| Last Update Date | 04/24/2019 |
| Medicare PECOS PAC ID | 5698006575 |
|---|---|
| Medicare Enrollment ID | O20191007002951 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104480243 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | Karen L Cadwalader |
|---|---|
| Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
| Provider Identifiers | NPI Number: 1295765899 PECOS PAC ID: 6406888403 Enrollment ID: I20050909000566 |
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