| James Edmonstone | |
|
78 Mainst. Suite 404 Northampton MA 01060 | |
| (413) 586-0098 | |
| (413) 586-0083 |
| Full Name | James Edmonstone |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 78 Mainst., Northampton, Massachusetts |
| Authorized Official Name and Position | James Walker Edmonstone (LICENSED INDEPENDENT CLINICAL SOC) |
| Authorized Official Contact | 4135860098 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| James Edmonstone 78 Mainst. Suite 404 Northampton MA 01060 Ph: (413) 586-0098 | James Edmonstone 78 Mainst. Suite 404 Northampton MA 01060 Ph: (413) 586-0098 |
| NPI Number | 1134589708 |
|---|---|
| Provider Enumeration Date | 02/25/2016 |
| Last Update Date | 02/25/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134589708 | NPI | - | NPPES |
| P30136 | Other | MA | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 103484 (Massachusetts) | Primary |
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