| Eva Ray Senner, Llc | |
|
707 Fulton St Medford MA 02155-1013 | |
| (781) 960-8218 | |
| Not Available |
| Full Name | Eva Ray Senner, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 707 Fulton St, Medford, Massachusetts |
| Authorized Official Name and Position | Eva Ray Senner (OWNER) |
| Authorized Official Contact | 9785055212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eva Ray Senner, Llc 47 High St # 6 Medford MA 02155-3808 Ph: (781) 960-8218 | Eva Ray Senner, Llc 707 Fulton St Medford MA 02155-1013 Ph: (781) 960-8218 |
| NPI Number | 1497518609 |
|---|---|
| Provider Enumeration Date | 01/31/2024 |
| Last Update Date | 01/31/2024 |
| Certification Date | 01/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497518609 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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