| Md Psychology Llc | |
|
115 Main St Suite 2a North Easton MA 02356-1409 | |
| (508) 456-6287 | |
| (844) 766-2013 |
| Full Name | Md Psychology Llc |
|---|---|
| Speciality | Psychologist |
| Location | 115 Main St, North Easton, Massachusetts |
| Authorized Official Name and Position | Maggie Naughton (OFFICE MANAGER) |
| Authorized Official Contact | 5072970863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Md Psychology Llc 115 Main St Suite 2a North Easton MA 02356-1409 Ph: (508) 456-6287 | Md Psychology Llc 115 Main St Suite 2a North Easton MA 02356-1409 Ph: (508) 456-6287 |
| NPI Number | 1720464753 |
|---|---|
| Provider Enumeration Date | 07/31/2015 |
| Last Update Date | 05/17/2021 |
| Certification Date | 05/17/2021 |
| Medicare PECOS PAC ID | 4486942844 |
|---|---|
| Medicare Enrollment ID | O20161018001268 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720464753 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 278285 (Massachusetts) | Primary |
| Provider Name | Meaghan E Dilallo |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1407087596 PECOS PAC ID: 1153560859 Enrollment ID: I20161018001449 |
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