Neuropsychological Evaluations Of Northampton | |
71 King St Apt 1 Northampton MA 01060-3276 | |
(413) 588-8419 | |
Not Available |
Full Name | Neuropsychological Evaluations Of Northampton |
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Speciality | Clinic/Center |
Location | 71 King St Apt 1, Northampton, Massachusetts |
Authorized Official Name and Position | Michael Fearing (MANAGER) |
Authorized Official Contact | 4135888419 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Neuropsychological Evaluations Of Northampton 50 Olander Dr Northampton MA 01060-3631 Ph: () - | Neuropsychological Evaluations Of Northampton 71 King St Apt 1 Northampton MA 01060-3276 Ph: (413) 588-8419 |
NPI Number | 1265050280 |
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Provider Enumeration Date | 07/07/2020 |
Last Update Date | 04/03/2024 |
Certification Date | 04/03/2024 |
Medicare PECOS PAC ID | 4789003542 |
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Medicare Enrollment ID | O20200928001495 |
Identifier | Type | State | Issuer |
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1265050280 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
Provider Name | Michael A Fearing |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1265673933 PECOS PAC ID: 8224188321 Enrollment ID: I20090611000300 |
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