| T Psychological Services Professional Llc | |
|
305 Avalon Dr Bedford MA 01730-2067 | |
| (857) 201-0170 | |
| Not Available |
| Full Name | T Psychological Services Professional Llc |
|---|---|
| Speciality | Psychologist |
| Location | 305 Avalon Dr, Bedford, Massachusetts |
| Authorized Official Name and Position | Karl J Toews (PSYCHOLOGIST) |
| Authorized Official Contact | 8572010170 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| T Psychological Services Professional Llc 304 Avalon Dr Bedford MA 01730-2067 Ph: (857) 201-0170 | T Psychological Services Professional Llc 305 Avalon Dr Bedford MA 01730-2067 Ph: (857) 201-0170 |
| NPI Number | 1114524337 |
|---|---|
| Provider Enumeration Date | 10/01/2020 |
| Last Update Date | 10/09/2020 |
| Certification Date | 10/02/2020 |
| Medicare PECOS PAC ID | 4789095464 |
|---|---|
| Medicare Enrollment ID | O20201202000310 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114524337 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Karl J Toews |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1336228899 PECOS PAC ID: 1658371190 Enrollment ID: I20070105000322 |
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