Ross Psychotherapy Llc | |
259 Massachusetts Ave Arlington MA 02474-8406 | |
(413) 325-5647 | |
Not Available |
Full Name | Ross Psychotherapy Llc |
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Speciality | Social Worker |
Location | 259 Massachusetts Ave, Arlington, Massachusetts |
Authorized Official Name and Position | Melissa Ross (OWNER) |
Authorized Official Contact | 4133255647 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Ross Psychotherapy Llc 259 Massachusetts Ave Arlington MA 02474-8406 Ph: (413) 325-5647 | Ross Psychotherapy Llc 259 Massachusetts Ave Arlington MA 02474-8406 Ph: (413) 325-5647 |
NPI Number | 1831868660 |
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Provider Enumeration Date | 09/07/2021 |
Last Update Date | 02/17/2022 |
Certification Date | 02/17/2022 |
Medicare PECOS PAC ID | 6305243254 |
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Medicare Enrollment ID | O20210921000717 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831868660 | NPI | - | NPPES |
111369 | Other | MA | STATE LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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