| Cape Cod Psychological Testing, Inc. | |
|
1074 Main St West Barnstable MA 02668-1142 | |
| (508) 362-1180 | |
| (508) 362-7048 |
| Full Name | Cape Cod Psychological Testing, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1074 Main St, West Barnstable, Massachusetts |
| Authorized Official Name and Position | Carl Freeman Gustafson (LICENCED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 5083621180 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cape Cod Psychological Testing, Inc. 1074 Main St West Barnstable MA 02668-1142 Ph: (508) 362-1180 | Cape Cod Psychological Testing, Inc. 1074 Main St West Barnstable MA 02668-1142 Ph: (508) 362-1180 |
| NPI Number | 1952616120 |
|---|---|
| Provider Enumeration Date | 08/12/2010 |
| Last Update Date | 09/06/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952616120 | NPI | - | NPPES |
| 110096626A | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | MA8060 (Massachusetts) | Primary |
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