| Carroll Psychpharmacology, Llc | |
|
4 S Spooner St Plymouth MA 02360-4447 | |
| (617) 544-3571 | |
| (617) 206-3804 |
| Full Name | Carroll Psychpharmacology, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4 S Spooner St, Plymouth, Massachusetts |
| Authorized Official Name and Position | Anne Opre Carroll (OWNER) |
| Authorized Official Contact | 6175443671 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carroll Psychpharmacology, Llc Po Box 4118 Plymouth MA 02361-4118 Ph: (508) 259-6691 | Carroll Psychpharmacology, Llc 4 S Spooner St Plymouth MA 02360-4447 Ph: (617) 544-3571 |
| NPI Number | 1487299863 |
|---|---|
| Provider Enumeration Date | 11/09/2019 |
| Last Update Date | 11/09/2019 |
| Medicare PECOS PAC ID | 1951721232 |
|---|---|
| Medicare Enrollment ID | O20201027000681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487299863 | NPI | - | NPPES |
| Provider Name | Anne O Carroll |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1598102816 PECOS PAC ID: 1658639216 Enrollment ID: I20180103002036 |
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