| Cranberry Counseling Professional Corporation | |
|
769 Plain St Suite B Marshfield MA 02050-2118 | |
| (781) 837-5344 | |
| (781) 837-5384 |
| Full Name | Cranberry Counseling Professional Corporation |
|---|---|
| Speciality | Psychologist |
| Location | 769 Plain St, Marshfield, Massachusetts |
| Authorized Official Name and Position | Terry A Hayes (PRESIDENT) |
| Authorized Official Contact | 7818375344 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cranberry Counseling Professional Corporation 769 Plain St Suite B Marshfield MA 02050-2118 Ph: (781) 837-5344 | Cranberry Counseling Professional Corporation 769 Plain St Suite B Marshfield MA 02050-2118 Ph: (781) 837-5344 |
| NPI Number | 1659506228 |
|---|---|
| Provider Enumeration Date | 05/26/2009 |
| Last Update Date | 05/26/2009 |
| Medicare PECOS PAC ID | 5496800245 |
|---|---|
| Medicare Enrollment ID | O20090901000204 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659506228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3821 (Massachusetts) | Primary |
| Provider Name | Terry Hayes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1962495226 PECOS PAC ID: 8123173978 Enrollment ID: I20090902000219 |
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