| Rachel Lively Incorporated | |
|
25 Market St Suite 14 Swansea MA 02777-3999 | |
| (508) 221-4844 | |
| Not Available |
| Full Name | Rachel Lively Incorporated |
|---|---|
| Speciality | Psychologist |
| Location | 25 Market St, Swansea, Massachusetts |
| Authorized Official Name and Position | Rachel Lively (PSYCHOLOGIST) |
| Authorized Official Contact | 5082214844 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rachel Lively Incorporated 25 Market St Suite 14 Swansea MA 02777-3999 Ph: (508) 221-4844 | Rachel Lively Incorporated 25 Market St Suite 14 Swansea MA 02777-3999 Ph: (508) 221-4844 |
| NPI Number | 1336508217 |
|---|---|
| Provider Enumeration Date | 02/19/2016 |
| Last Update Date | 02/19/2016 |
| Medicare PECOS PAC ID | 3870891674 |
|---|---|
| Medicare Enrollment ID | O20160412000770 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336508217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 8729 (Massachusetts) | Primary |
| Provider Name | Rachel Lively |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1568656460 PECOS PAC ID: 5294812848 Enrollment ID: I20080407000194 |
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