| Jackie Mascher Phd Llc | |
|
32 Cotuit St West Roxbury MA 02132-4222 | |
| (617) 615-6296 | |
| Not Available |
| Full Name | Jackie Mascher Phd Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 32 Cotuit St, West Roxbury, Massachusetts |
| Authorized Official Name and Position | Jackie Mascher (OWNER) |
| Authorized Official Contact | 6176156296 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jackie Mascher Phd Llc 32 Cotuit St West Roxbury MA 02132-4222 Ph: () - | Jackie Mascher Phd Llc 32 Cotuit St West Roxbury MA 02132-4222 Ph: (617) 615-6296 |
| NPI Number | 1104579085 |
|---|---|
| Provider Enumeration Date | 01/31/2022 |
| Last Update Date | 01/31/2022 |
| Certification Date | 01/31/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104579085 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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