| Fresh Start Psychological Services Llc | |
|
18 Railroad St Ste 1 Andover MA 01810-3570 | |
| (978) 222-9818 | |
| (978) 824-9475 |
| Full Name | Fresh Start Psychological Services Llc |
|---|---|
| Speciality | Psychologist - Counseling |
| Location | 18 Railroad St Ste 1, Andover, Massachusetts |
| Authorized Official Name and Position | Diane Green Reilly (MANAGER) |
| Authorized Official Contact | 9782229818 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresh Start Psychological Services Llc 18 Railroad St Ste 1 Andover MA 01810-3570 Ph: (978) 222-9818 | Fresh Start Psychological Services Llc 18 Railroad St Ste 1 Andover MA 01810-3570 Ph: (978) 222-9818 |
| NPI Number | 1629508171 |
|---|---|
| Provider Enumeration Date | 06/18/2017 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629508171 | NPI | - | NPPES |
| 1821363615 | Other | MA | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC1900X | Psychologist - Counseling | 7734 (Massachusetts) | Primary |
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