Dr Laura M Distel, PHD | |
300 Longwood Ave, Boston, MA 02115-5724 | |
(617) 919-7492 | |
Not Available |
Full Name | Dr Laura M Distel |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 300 Longwood Ave, 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 |
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1497481949 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 11936 (Massachusetts) | Primary |
103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Secondary |
Entity Name | Children's Hospital Pediatric Associates, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1457306664 PECOS PAC ID: 3476541830 Enrollment ID: O20040504000964 |
Mailing Address | Practice Location Address |
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Dr Laura M Distel, PHD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 355-6000 | Dr Laura M Distel, PHD 300 Longwood Ave, Boston, MA 02115-5724 Ph: (617) 919-7492 |
Dr. Sharon Cohan Sung, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 185 Cambridge St, Suite 2200, 2nd Floor, Boston, MA 02114 Phone: 617-724-0666 Fax: 617-643-3080 | |
Dr. William Arthur Winn Iii, ED.D Psychologist Medicare: Not Enrolled in Medicare Practice Location: 66 Long Wharf, Boston, MA 02110 Phone: 617-624-3340 Fax: 617-523-8197 | |
Dr. Karen Suzanne Mitchell, PHD Psychologist Medicare: Medicare Enrolled Practice Location: 150 S Huntington Ave, 116b-3, Boston, MA 02130 Phone: 857-364-2149 | |
Corey Baechel, PSYD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 84 State St, Boston, MA 02109 Phone: 860-788-6404 | |
Dr. Laura Richardson, Psychologist Medicare: Accepting Medicare Assignments Practice Location: 55 Fruit St, Boston, MA 02114 Phone: 617-724-5600 | |
Dr. Allison E White, PHD Psychologist Medicare: Accepting Medicare Assignments Practice Location: 32 Fruit St Bldg Suite6a, Boston, MA 02114 Phone: 617-643-2471 | |
Dr. Jefferson Martin Crowe, PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 8 Faneuil Hall Marketplace # 326, Boston, MA 02109 Phone: 303-304-6528 |