| Creativity Works Inc | |
|
209 Quincy St Brockton MA 02302-2926 | |
| (617) 842-3674 | |
| Not Available |
| Full Name | Creativity Works Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 209 Quincy St, Brockton, Massachusetts |
| Authorized Official Name and Position | David Van Wyck Stringham (PRESIDENT) |
| Authorized Official Contact | 6178423674 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Creativity Works Inc 45a High St Sharon MA 02067-1419 Ph: (617) 842-3674 | Creativity Works Inc 209 Quincy St Brockton MA 02302-2926 Ph: (617) 842-3674 |
| NPI Number | 1205316346 |
|---|---|
| Provider Enumeration Date | 08/17/2018 |
| Last Update Date | 06/24/2019 |
| Medicare PECOS PAC ID | 2668706649 |
|---|---|
| Medicare Enrollment ID | O20190625002318 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205316346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | David V Stringham |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912922998 PECOS PAC ID: 1951345941 Enrollment ID: I20050610000244 |
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