Cdph Services Llc | |
40 Shattuck Rd Ste 220 Andover MA 01810-2456 | |
(978) 494-4889 | |
Not Available |
Full Name | Cdph Services Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 40 Shattuck Rd Ste 220, Andover, Massachusetts |
Authorized Official Name and Position | Chandler Diffily (NURSE PRACTITIONER) |
Authorized Official Contact | 9783355164 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Cdph Services Llc 6 Ellsworth Rd Andover MA 01810-4256 Ph: (978) 335-5164 | Cdph Services Llc 40 Shattuck Rd Ste 220 Andover MA 01810-2456 Ph: (978) 494-4889 |
NPI Number | 1376328237 |
---|---|
Provider Enumeration Date | 08/29/2023 |
Last Update Date | 08/29/2023 |
Certification Date | 08/29/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376328237 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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