| Innerbloom Health, P.c. | |
|
2 Neptune Rd Ste 424 Boston MA 02128-1457 | |
| (617) 798-0924 | |
| Not Available |
| Full Name | Innerbloom Health, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 2 Neptune Rd Ste 424, Boston, Massachusetts |
| Authorized Official Name and Position | Thomas Brewer (FOUNDER) |
| Authorized Official Contact | 6177980924 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Innerbloom Health, P.c. 2 Neptune Rd Ste 424 Boston MA 02128-1457 Ph: (617) 798-0924 | Innerbloom Health, P.c. 2 Neptune Rd Ste 424 Boston MA 02128-1457 Ph: (617) 798-0924 |
| NPI Number | 1780393470 |
|---|---|
| Provider Enumeration Date | 11/21/2022 |
| Last Update Date | 12/05/2022 |
| Certification Date | 11/28/2022 |
| Medicare PECOS PAC ID | 5890168587 |
|---|---|
| Medicare Enrollment ID | O20230228000962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780393470 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Holly Muller |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1679183230 PECOS PAC ID: 3779998349 Enrollment ID: I20210211001642 |
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