Daniel Moore, PSYD | |
10 Gove St, East Boston, MA 02128-1920 | |
(617) 569-5800 | |
Not Available |
Full Name | Daniel Moore |
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Gender | Male |
Speciality | Psychologist |
Location | 10 Gove St, East Boston, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1730660630 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103T00000X | Psychologist | 11970 (Massachusetts) | Primary |
Entity Name | Internal Medical Associates-ebnhc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1558481879 PECOS PAC ID: 6103814371 Enrollment ID: O20040505000853 |
Entity Name | East Boston Neighborhood Health Center Corp |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316994411 PECOS PAC ID: 9032356050 Enrollment ID: O20130513000045 |
Mailing Address | Practice Location Address |
---|---|
Daniel Moore, PSYD 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 | Daniel Moore, PSYD 10 Gove St, East Boston, MA 02128-1920 Ph: (617) 569-5800 |
John Joseph Janko, PH.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 14 Porter St, East Boston, MA 02128 Phone: 617-569-3189 Fax: 617-569-7890 | |
Felix Trede, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-568-5800 Fax: 617-568-4756 | |
Elizabeth Lane Shum, PSY.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 10 Gove St, East Boston, MA 02128 Phone: 617-569-5800 Fax: 617-568-4756 |