| Keri Fernald, Llc | |
|
154 Emerys Bridge Rd South Berwick ME 03908-1904 | |
| (802) 661-8259 | |
| Not Available |
| Full Name | Keri Fernald, Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 154 Emerys Bridge Rd, South Berwick, Maine |
| Authorized Official Name and Position | Keri R Fernald (OWNER) |
| Authorized Official Contact | 8026618259 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Keri Fernald, Llc 154 Emerys Bridge Rd South Berwick ME 03908-1904 Ph: (802) 661-8259 | Keri Fernald, Llc 154 Emerys Bridge Rd South Berwick ME 03908-1904 Ph: (802) 661-8259 |
| NPI Number | 1164851994 |
|---|---|
| Provider Enumeration Date | 11/02/2013 |
| Last Update Date | 11/02/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164851994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 1013 (New Hampshire) | Primary |
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