Ashmont Counseling Associates Llc

NPI 1003099417 - Psychologist - 103TC1900X

NPI Details
NPI 1003099417
Enumeration Date 12/07/2007
Last Updated 12/20/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARTIN RANDY MARTIN
Position LICENSED PSYCHOLOGIST
Phone (617) 224-7289
Fax (617) 288-2992
Practice Location
172 ASHMONT ST
DORCHESTER CENTER MA, 02124-3745, US
Phone (617) 224-7289
Fax (617) 288-2992
Business Location
172 ASHMONT ST
DORCHESTER CENTER MA, 02124-3745, US
Phone (617) 224-7289
Fax (617) 288-2992
Toxanomy
Taxonomy Code 103TC1900X
License State Massachusetts
License Number 8761
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According to our database, Ashmont Counseling Associates Llc NPI is 1003099417, taxonomy code is 103TC1900X and license number is 8761, license state is located at Massachusetts. Ashmont Counseling Associates Llc physically located at 172 Ashmont St, Dorchester Center MA, 02124-3745. NPI Number 1033115704 has the healthcare provider type.

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1003099417 NPI number is provided on an as is basis without warranty of any kind. 1003099417 is maintained by the National Plan & Provider Enumeration System. The contents of Ashmont Counseling Associates Llc are for informational purposes only.