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 |
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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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