| Labyrinth Psychological Services, P.c. | |
|
800 Main St Holden MA 01520-1838 | |
| (508) 797-7110 | |
| Not Available |
| Full Name | Labyrinth Psychological Services, P.c. |
|---|---|
| Speciality | Psychologist |
| Location | 800 Main St, Holden, Massachusetts |
| Authorized Official Name and Position | Hanya Harris Bluestone (OWNER/CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 5087977110 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Labyrinth Psychological Services, P.c. 800 Main St Holden MA 01520-1838 Ph: (508) 797-7110 | Labyrinth Psychological Services, P.c. 800 Main St Holden MA 01520-1838 Ph: (508) 797-7110 |
| NPI Number | 1609233790 |
|---|---|
| Provider Enumeration Date | 01/21/2016 |
| Last Update Date | 03/22/2021 |
| Certification Date | 03/22/2021 |
| Medicare PECOS PAC ID | 5597062877 |
|---|---|
| Medicare Enrollment ID | O20160331001618 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609233790 | NPI | - | NPPES |
| 1487693388 | Other | MA | NPI INDIVIDUAL PROVIDER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 7130 (Massachusetts) | Primary |
| Provider Name | Hanya H Bluestone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1487693388 PECOS PAC ID: 1153233267 Enrollment ID: I20031105000485 |
| Provider Name | Hayden Abbott Duggan |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1669607503 PECOS PAC ID: 0244521037 Enrollment ID: I20160627000739 |
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