| David D. Nowell, Ph.d. | |
|
189 May St Worcester MA 01602-4339 | |
| (508) 471-9254 | |
| (508) 885-8989 |
| Full Name | David D. Nowell, Ph.d. |
|---|---|
| Speciality | Psychologist |
| Location | 189 May St, Worcester, Massachusetts |
| Authorized Official Name and Position | David Dean Nowell (PRESIDENT) |
| Authorized Official Contact | 5084719254 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| David D. Nowell, Ph.d. 189 May St Worcester MA 01602-4339 Ph: (508) 471-9254 | David D. Nowell, Ph.d. 189 May St Worcester MA 01602-4339 Ph: (508) 471-9254 |
| NPI Number | 1720356249 |
|---|---|
| Provider Enumeration Date | 12/12/2011 |
| Last Update Date | 12/12/2011 |
| Medicare PECOS PAC ID | 0648439737 |
|---|---|
| Medicare Enrollment ID | O20120308000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720356249 | NPI | - | NPPES |
| 1894579 | Medicaid | MA | |
| 1790821411 | Other | BLUE CROSS/BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 7226 (Massachusetts) | Primary |
| Provider Name | David D Nowell |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1790821411 PECOS PAC ID: 8628193794 Enrollment ID: I20100913000650 |
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