| Pamela Fantini Phd Llc | |
|
7 Mill Pond Marblehead MA 01945-2686 | |
| (781) 367-5374 | |
| (978) 745-5455 |
| Full Name | Pamela Fantini Phd Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 7 Mill Pond, Marblehead, Massachusetts |
| Authorized Official Name and Position | Pamela Fantini (PSYCHOLOGIST) |
| Authorized Official Contact | 7813675374 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pamela Fantini Phd Llc 7 Mill Pond Marblehead MA 01945-2686 Ph: (781) 367-5374 | Pamela Fantini Phd Llc 7 Mill Pond Marblehead MA 01945-2686 Ph: (781) 367-5374 |
| NPI Number | 1770822173 |
|---|---|
| Provider Enumeration Date | 02/05/2013 |
| Last Update Date | 03/04/2013 |
| Medicare PECOS PAC ID | 3375788920 |
|---|---|
| Medicare Enrollment ID | O20130402000138 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770822173 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | PSY 4599 (Massachusetts) | Primary |
| Provider Name | Pamela C Fantini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1235287400 PECOS PAC ID: 6709021355 Enrollment ID: I20130402000183 |
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