| Glynn Roux Services, Llc | |
|
450 N Main St Sharon MA 02067-1172 | |
| (617) 875-5719 | |
| Not Available |
| Full Name | Glynn Roux Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 450 N Main St, Sharon, Massachusetts |
| Authorized Official Name and Position | Mary Dee Glynn Roux (MANAGER) |
| Authorized Official Contact | 6178755719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Glynn Roux Services, Llc Po Box 93 Sharon MA 02067-0093 Ph: () - | Glynn Roux Services, Llc 450 N Main St Sharon MA 02067-1172 Ph: (617) 875-5719 |
| NPI Number | 1972987527 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 07/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972987527 | NPI | - | NPPES |
| 1851600985 | Other | MA | TYPE 1 NPI NUMBER (USED PRIOR TO FORMING LLC AND REQUESTING TYPE 2 NPI) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 9942 (Massachusetts) | Primary |
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