Highland Psych | |
654 High St Fall River MA 02720-3451 | |
(508) 965-9532 | |
Not Available |
Full Name | Highland Psych |
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Speciality | Social Worker |
Location | 654 High St, Fall River, Massachusetts |
Authorized Official Name and Position | Mary Ann Duffy (OWNER) |
Authorized Official Contact | 5089659532 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Highland Psych Po Box 9694 Fall River MA 02720-0012 Ph: (508) 965-9532 | Highland Psych 654 High St Fall River MA 02720-3451 Ph: (508) 965-9532 |
NPI Number | 1871791194 |
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Provider Enumeration Date | 07/08/2007 |
Last Update Date | 12/06/2012 |
Medicare PECOS PAC ID | 3476638370 |
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Medicare Enrollment ID | O20080317000113 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871791194 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 106023 (Massachusetts) | Primary |
Provider Name | Mary Ann Duffy |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1285781815 PECOS PAC ID: 2860425808 Enrollment ID: I20050912000507 |
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