Meditelecare of Massachusetts, Pllc
NPI #1003496506 in Boston, Massachusetts
Provider Information
- NPI Number
- 1003496506
- Entity Type
- Organization
- Organization Name
- Meditelecare of Massachusetts, Pllc
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Apr 9, 2021
- Last Updated
- May 5, 2025
Practice Location
- Address
- 84 STATE ST
- City
- Boston
- State
- Massachusetts
- ZIP Code
- 02109-2202
- Phone
- (860) 788-6404
Authorized Official
- Name
- ANDREA GODFREY
- Title
- CREDENTIALING & ENROLLMENT MANAGER
- Phone
- (860) 398-6441
Specialties & Taxonomy Codes
| Specialty |
|---|
| Social Worker - Clinical — Clinical |
| Psychiatry & Neurology - Psychiatry — Psychiatry |
| Psychiatry & Neurology - Geriatric Psychiatry — Geriatric Psychiatry |
| Nurse Practitioner |
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
| Psychologist - Clinical — Clinical |
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