Pca in Pediatric Primary Care LLC

NPI #1013347103 in Woburn, Massachusetts

Provider Information

NPI Number: 1013347103
Entity Type: Organization
Organization Name: Pca in Pediatric Primary Care LLC
Primary Specialty: Psychologist - Counseling
Enumeration Date: Nov 26, 2013
Last Updated: Nov 26, 2013

Practice Location

Address: 12 ALFRED ST
Address 2: SUITE 200
City: Woburn
State: Massachusetts
ZIP Code: 01801-1972
Phone: (781) 646-0500

Authorized Official

Name: DR. MICHAEL F JACQUES, PHD
Title: OWNER
Phone: (781) 646-0500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Counseling — Counseling	103TC1900X	Primary

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