| Dearborn Wellness, Llc | |
|
1266 Furnace Brook Pkwy Ste 307 Quincy MA 02169-4789 | |
| (857) 288-8508 | |
| (888) 262-9456 |
| Full Name | Dearborn Wellness, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1266 Furnace Brook Pkwy Ste 307, Quincy, Massachusetts |
| Authorized Official Name and Position | Katherine King (PSYCHOLOGIST) |
| Authorized Official Contact | 8572888508 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dearborn Wellness, Llc 1266 Furnace Brook Pkwy Ste 307 Quincy MA 02169-4789 Ph: (857) 288-8508 | Dearborn Wellness, Llc 1266 Furnace Brook Pkwy Ste 307 Quincy MA 02169-4789 Ph: (857) 288-8508 |
| NPI Number | 1316398852 |
|---|---|
| Provider Enumeration Date | 06/27/2016 |
| Last Update Date | 09/18/2023 |
| Certification Date | 09/18/2023 |
| Medicare PECOS PAC ID | 6507152972 |
|---|---|
| Medicare Enrollment ID | O20160912000474 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316398852 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 9599 (Massachusetts) | Primary |
| Provider Name | Katherine D King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1912142902 PECOS PAC ID: 7618129362 Enrollment ID: I20121204000454 |
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