| Choate Health Management | |
|
391 Varnum Ave Lowell MA 01854-2119 | |
| (978) 322-5120 | |
| Not Available |
| Full Name | Choate Health Management |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 391 Varnum Ave, Lowell, Massachusetts |
| Authorized Official Name and Position | Carol A. Porder (DIRECTOR) |
| Authorized Official Contact | 9783225120 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Choate Health Management 391 Varnum Ave Lowell MA 01854-2119 Ph: (978) 322-5120 | Choate Health Management 391 Varnum Ave Lowell MA 01854-2119 Ph: (978) 322-5120 |
| NPI Number | 1073674420 |
|---|---|
| Provider Enumeration Date | 12/12/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073674420 | NPI | - | NPPES |
| 1307126 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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