Michelle Jaques-leonard, PHD | |
24 Newton St, Southborough, MA 01772-1215 | |
(508) 856-0732 | |
Not Available |
Full Name | Michelle Jaques-leonard |
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Gender | Female |
Speciality | Psychologist - Clinical |
Location | 24 Newton St, Southborough, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1598296063 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 11862 (Massachusetts) | Primary |
Entity Name | Reliant Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1720017528 PECOS PAC ID: 5597755322 Enrollment ID: O20040708000650 |
Mailing Address | Practice Location Address |
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Michelle Jaques-leonard, PHD 1350 E Main Rd, Portsmouth, RI 02871-2308 Ph: (508) 439-0765 | Michelle Jaques-leonard, PHD 24 Newton St, Southborough, MA 01772-1215 Ph: (508) 856-0732 |
Dr. Maria Berstein Brucculeri, ED.D Psychologist Medicare: Accepting Medicare Assignments Practice Location: 11 Main St, Southborough, MA 01772 Phone: 508-787-9713 | |
Jenna Danielle Leavitt Green, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 1413 Madison Pl, Southborough, MA 01772 Phone: 617-513-1056 | |
Ms. Susan Lyn Baceski, CAGS, NCSP Psychologist Medicare: Medicare Enrolled Practice Location: 95 Mount Vickery Rd, Southborough, MA 01772 Phone: 617-686-2587 | |
Paul L. Mortarelli, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 24 Newton St, Southborough, MA 01772 Phone: 508-460-3190 Fax: 508-460-3297 | |
Janet Genevieve Couture (moschella), PSY.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 5 Foley Dr, Southborough, MA 01772 Phone: 508-303-3453 |