| Geropsychology Consultation Services | |
|
198 Groton Road Suite 2 Ayer MA 01432 | |
| (781) 640-0900 | |
| (978) 486-9516 |
| Full Name | Geropsychology Consultation Services |
|---|---|
| Speciality | Psychologist - Adult Development & Aging |
| Location | 198 Groton Road, Ayer, Massachusetts |
| Authorized Official Name and Position | Rachel Laschever Movitz (LICENSED PSYCHOLOGIST) |
| Authorized Official Contact | 7816400900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Geropsychology Consultation Services P.o. Box 628 Westford MA 01886 Ph: (781) 640-0900 | Geropsychology Consultation Services 198 Groton Road Suite 2 Ayer MA 01432 Ph: (781) 640-0900 |
| NPI Number | 1124240734 |
|---|---|
| Provider Enumeration Date | 05/03/2007 |
| Last Update Date | 05/07/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124240734 | NPI | - | NPPES |
| 1859731 | Medicaid | MA | |
| W06374 | Other | MA | BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TA0700X | Psychologist - Adult Development & Aging | 8263 (Massachusetts) | Primary |
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