| Eavan Miles-mason, Phd Llc | |
|
747 Main St # 228 Concord MA 01742-3302 | |
| (978) 493-2848 | |
| Not Available |
| Full Name | Eavan Miles-mason, Phd Llc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 747 Main St # 228, Concord, Massachusetts |
| Authorized Official Name and Position | Eavan Durwin (PEDIATRIC NEUROPSYCHOGIST) |
| Authorized Official Contact | 9784932848 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eavan Miles-mason, Phd Llc 747 Main St # 228 Concord MA 01742-3302 Ph: (978) 493-2848 | Eavan Miles-mason, Phd Llc 747 Main St # 228 Concord MA 01742-3302 Ph: (978) 493-2848 |
| NPI Number | 1518575786 |
|---|---|
| Provider Enumeration Date | 07/14/2020 |
| Last Update Date | 10/04/2022 |
| Certification Date | 10/04/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518575786 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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