| South Shore Medical Center, Inc | |
|
75 Washington St Norwell MA 02061-9147 | |
| (781) 878-5200 | |
| Not Available |
| Full Name | South Shore Medical Center, Inc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 75 Washington St, Norwell, Massachusetts |
| Authorized Official Name and Position | Detta Halpin (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7817924191 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| South Shore Medical Center, Inc 75 Washington St Norwell MA 02061-1795 Ph: (781) 878-5200 | South Shore Medical Center, Inc 75 Washington St Norwell MA 02061-9147 Ph: (781) 878-5200 |
| NPI Number | 1902976798 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902976798 | NPI | - | NPPES |
| 9702873 | Medicaid | MA | |
| 702028 | Other | MA | TUFTS |
| M10287 | Other | MA | BCBSMA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
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