| Red Road Psychotherapy Services | |
|
1191 N Main St Suite #204 Randolph MA 02368-2135 | |
| (781) 767-0008 | |
| (781) 390-3108 |
| Full Name | Red Road Psychotherapy Services |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1191 N Main St, Randolph, Massachusetts |
| Authorized Official Name and Position | Sandra Range (OWNER) |
| Authorized Official Contact | 7817670008 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Red Road Psychotherapy Services 141 Memorial Pkwy Pmb #190 Randolph MA 02368-4511 Ph: (781) 767-0008 | Red Road Psychotherapy Services 1191 N Main St Suite #204 Randolph MA 02368-2135 Ph: (781) 767-0008 |
| NPI Number | 1225327182 |
|---|---|
| Provider Enumeration Date | 03/31/2011 |
| Last Update Date | 03/31/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225327182 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 5509 (Massachusetts) | Primary |
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