Laura Regal, | |
1501 Washington St, Braintree, MA 02184-7599 | |
(508) 747-7047 | |
Not Available |
Full Name | Laura Regal |
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Gender | Female |
Speciality | Counselor - Mental Health |
Location | 1501 Washington St, Braintree, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437762085 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | LMHC10002194 (Massachusetts) | Primary |
Entity Name | South Shore Mental Health Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770528317 PECOS PAC ID: 4082508429 Enrollment ID: O20040226000168 |
Mailing Address | Practice Location Address |
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Laura Regal, 46 Cleverly Ct Apt 10, Quincy, MA 02169-7300 Ph: () - | Laura Regal, 1501 Washington St, Braintree, MA 02184-7599 Ph: (508) 747-7047 |
Josh Coronis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 106, Braintree, MA 02184 Phone: 781-817-6675 | |
Maya A. Williams, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 303, Braintree, MA 02184 Phone: 781-843-3683 | |
Chantelle Freeman, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 303, Braintree, MA 02184 Phone: 781-428-4904 Fax: 781-848-0206 | |
Julius Enang, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St Ste 303, Braintree, MA 02184 Phone: 781-492-6408 | |
Claire Casserly, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St, Braintree, MA 02184 Phone: 781-817-6675 Fax: 781-817-6745 | |
Samantha Small, Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St, Braintree, MA 02184 Phone: 508-678-2833 | |
Isson Joseph, MSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 400 Washington St, Braintree, MA 02184 Phone: 781-843-3683 |