Re-anchored Therapy | |
8 Walnut St Quincy MA 02171-1700 | |
(774) 826-7528 | |
Not Available |
Full Name | Re-anchored Therapy |
---|---|
Speciality | Psychologist |
Location | 8 Walnut St, Quincy, Massachusetts |
Authorized Official Name and Position | Ashley C Sultan (PSYCHOLOGIST) |
Authorized Official Contact | 6176574125 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Re-anchored Therapy 377 Willard St # 302 Quincy MA 02169-6122 Ph: (774) 826-7528 | Re-anchored Therapy 8 Walnut St Quincy MA 02171-1700 Ph: (774) 826-7528 |
NPI Number | 1871240051 |
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Provider Enumeration Date | 03/07/2022 |
Last Update Date | 03/07/2022 |
Certification Date | 03/07/2022 |
Medicare PECOS PAC ID | 9133501414 |
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Medicare Enrollment ID | O20220803001035 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871240051 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TH0100X | Psychologist - Health Service | (* (Not Available)) | Primary |
Provider Name | Ashley Cameron Sultan |
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Provider Type | Practitioner - Clinical Psychologist |
Provider Identifiers | NPI Number: 1093233645 PECOS PAC ID: 2769807221 Enrollment ID: I20200731001179 |
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