Mr Thomas Robert Gould, MA | |
45 Summer St, Leominster, MA 01453-3228 | |
(978) 630-4740 | |
(978) 630-4765 |
Full Name | Mr Thomas Robert Gould |
---|---|
Gender | Male |
Speciality | Counselor - Mental Health |
Location | 45 Summer St, Leominster, Massachusetts |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316242837 | NPI | - | NPPES |
1303007 | Other | MA | MASS HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
Entity Name | Spectrum Health Systems, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1346430253 PECOS PAC ID: 8224017082 Enrollment ID: O20040715000611 |
Mailing Address | Practice Location Address |
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Mr Thomas Robert Gould, MA 45 Summer St, Leominster, MA 01453-3228 Ph: (978) 630-4740 | Mr Thomas Robert Gould, MA 45 Summer St, Leominster, MA 01453-3228 Ph: (978) 630-4740 |
Kerry Howard Caviston, LMHC Counselor Medicare: Medicare Enrolled Practice Location: 32 Middle St Apt 2, Leominster, MA 01453 Phone: 197-887-0311 | |
Ms. Jean Spence Tatis, M.ED, LMHC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 Summer St, Leominster, MA 01453 Phone: 508-421-4451 Fax: 508-795-1338 | |
Denise R Tufts, Counselor Medicare: Accepting Medicare Assignments Practice Location: 142 Richard Rd, Leominster, MA 01453 Phone: 978-870-8158 | |
Miss Jordan Kimberly Thomas, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 Erdman Way, Suite 208, Leominster, MA 01453 Phone: 978-516-8567 | |
Grace Hanley, MA COUNSELING Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 Spruce St, Leominster, MA 01453 Phone: 978-534-6116 | |
Ms. Katherine Burrowes, MA, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 45 Summer St, Leominster, MA 01453 Phone: 978-534-6116 Fax: 978-534-3294 | |
Alicia Nichola Anderson, MSW Counselor Medicare: Accepting Medicare Assignments Practice Location: 45 Summer St, Leominster, MA 01453 Phone: 978-534-6116 |