| Willow Bough Carpenter, | |
|
14 Fordham Rd, Allston, MA 02134-3006 | |
| (617) 782-6460 | |
| Not Available |
| Full Name | Willow Bough Carpenter |
|---|---|
| Gender | Female |
| Speciality | Counselor - Mental Health |
| Location | 14 Fordham Rd, Allston, Massachusetts |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356520050 | NPI | - | NPPES |
| 1319744 | Medicaid | MA | |
| 8411 | Other | MA | BMC |
| 1001550 | Other | NHP |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Entity Name | Hri Clinics, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1598707002 PECOS PAC ID: 8022088483 Enrollment ID: O20040731000071 |
| Mailing Address | Practice Location Address |
|---|---|
| Willow Bough Carpenter, 14 Fordham Rd, Allston, MA 02134-3006 Ph: (617) 782-6460 | Willow Bough Carpenter, 14 Fordham Rd, Allston, MA 02134-3006 Ph: (617) 782-6460 |
Joseph Domnic Accardi, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Fordham Rd, Allston, MA 02134 Phone: 617-782-6460 | |
Karina F Evora, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Fordham Rd, Allston, MA 02134 Phone: 617-782-6460 | |
Steven Vance Walker, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Fordham Rd, Allston, MA 02134 Phone: 617-782-6460 | |
Emma Nance, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Fordham Rd, Allston, MA 02134 Phone: 617-782-6460 | |
Alissa Jane Romanow, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Fordham Rd, Allston, MA 02134 Phone: 617-782-6460 | |
Nicole Wolff, Counselor Medicare: Not Enrolled in Medicare Practice Location: 239 Kelton St, 41, Allston, MA 02134 Phone: 617-997-8129 | |
Cassandra Summers, Counselor Medicare: Not Enrolled in Medicare Practice Location: 14 Fordham Rd, Allston, MA 02134 Phone: 617-782-6460 |