| Catherine Carroll Pouche, | |
|
205 Burlington Rd, Bedford, MA 01730-1406 | |
| (781) 862-3600 | |
| Not Available |
| Full Name | Catherine Carroll Pouche |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 205 Burlington Rd, Bedford, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700589793 | NPI | - | NPPES |
| M18633 | Other | MA | BCBS |
| 1004745 | Other | MA | FALLON |
| 1303287 | Other | MA | MBHP |
| 0000023532 | Other | MA | BMC |
| 1004745 | Other | MA | NHP |
| 042611055 | Other | MA | TAX ID |
| 99618201 | Other | MA | NETWORK HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Edinburg Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073617353 PECOS PAC ID: 4486681087 Enrollment ID: O20060503000404 |
| Mailing Address | Practice Location Address |
|---|---|
| Catherine Carroll Pouche, 205 Burlington Rd, Bedford, MA 01730-1406 Ph: () - | Catherine Carroll Pouche, 205 Burlington Rd, Bedford, MA 01730-1406 Ph: (781) 862-3600 |
Jillian Orr, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 781-862-3600 | |
Molly Kay Cowan, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 781-862-3600 | |
Kyle Patrick Gagen, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 781-761-5148 Fax: 781-275-7206 | |
Deirdre Roche, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 781-826-3100 | |
Kayla Rose Haskin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 301-787-1295 | |
Melissa Jane Wentworth, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 781-761-5209 | |
Shannon Lee Costa, MS, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 205 Burlington Rd, Bedford, MA 01730 Phone: 781-761-5155 |