Christopher Hamlin Blake, PHD | |
288 Bedford St, Whitman, MA 02382-1820 | |
(781) 447-6425 | |
(781) 447-1786 |
Full Name | Christopher Hamlin Blake |
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Gender | Male |
Speciality | Counselor - Mental Health |
Location | 288 Bedford St, Whitman, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659444859 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 113317 (Massachusetts) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20220826002724 |
Mailing Address | Practice Location Address |
---|---|
Christopher Hamlin Blake, PHD 38 Standish Rd, Duxbury, MA 02332-5104 Ph: (781) 934-2356 | Christopher Hamlin Blake, PHD 288 Bedford St, Whitman, MA 02382-1820 Ph: (781) 447-6425 |
Mrs. Carolyn Phyllis Anderson, M.A. Counselor Medicare: Not Enrolled in Medicare Practice Location: 288 Bedford St, Whitman, MA 02382 Phone: 781-447-6425 Fax: 781-447-1786 | |
Patricia Martin, Counselor Medicare: Not Enrolled in Medicare Practice Location: 288 Bedford St, Whitman, MA 02382 Phone: 781-447-6425 Fax: 781-447-1786 | |
Emily Sirrell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Railroad Ave, Whitman, MA 02382 Phone: 781-447-5069 | |
Edwing Guilloteau, Counselor Medicare: Not Enrolled in Medicare Practice Location: 288 Bedford St, Whitman, MA 02382 Phone: 781-447-6425 | |
Prof. Fredrick P. Aloisi, M.ED.,CAGS Counselor Medicare: Not Enrolled in Medicare Practice Location: 288 Bedford St, Whitman, MA 02382 Phone: 781-447-6425 Fax: 781-447-1786 | |
Carolyn Malone, Counselor Medicare: Not Enrolled in Medicare Practice Location: 288 Bedford St, Whitman, MA 02382 Phone: 781-447-6425 | |
Mrs. Jennifer R. Estes, M.A., C.R.C. Counselor Medicare: Not Enrolled in Medicare Practice Location: 288 Bedford St, Whitman, MA 02382 Phone: 781-447-6425 |