New England Center For Ocd And Anxiety Boston Pllc | |
612 Main St Melrose MA 02176-3116 | |
(401) 829-8491 | |
Not Available |
Full Name | New England Center For Ocd And Anxiety Boston Pllc |
---|---|
Speciality | Psychologist |
Location | 612 Main St, Melrose, Massachusetts |
Authorized Official Name and Position | Lisa W Coyne (DIRECTOR) |
Authorized Official Contact | 4018298491 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
New England Center For Ocd And Anxiety Boston Pllc 612 Main St Melrose MA 02176-3116 Ph: (401) 829-8491 | New England Center For Ocd And Anxiety Boston Pllc 612 Main St Melrose MA 02176-3116 Ph: (401) 829-8491 |
NPI Number | 1770114951 |
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Provider Enumeration Date | 01/28/2020 |
Last Update Date | 01/28/2020 |
Certification Date | 01/28/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770114951 | NPI | - | NPPES |
110-138-102-A | Medicaid | MA | |
1669707592 | Other | MA | NPI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | (* (Not Available)) | Primary |
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