| Anne Cooper Beazley Llc | |
|
265 Lafayette St Apt 3 Salem MA 01970-5794 | |
| (978) 473-7961 | |
| Not Available |
| Full Name | Anne Cooper Beazley Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 265 Lafayette St Apt 3, Salem, Massachusetts |
| Authorized Official Name and Position | Anne Cooper (OWNER) |
| Authorized Official Contact | 9784737961 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anne Cooper Beazley Llc 265 Lafayette St Apt 3 Salem MA 01970-5794 Ph: (978) 473-7961 | Anne Cooper Beazley Llc 265 Lafayette St Apt 3 Salem MA 01970-5794 Ph: (978) 473-7961 |
| NPI Number | 1265023295 |
|---|---|
| Provider Enumeration Date | 02/02/2021 |
| Last Update Date | 02/02/2021 |
| Certification Date | 01/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265023295 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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