| Mindful Paths Psychological Testing | |
|
32 Court St Ste 7 Plymouth MA 02360-8733 | |
| (774) 426-7707 | |
| (800) 593-2560 |
| Full Name | Mindful Paths Psychological Testing |
|---|---|
| Speciality | Psychologist |
| Location | 32 Court St Ste 7, Plymouth, Massachusetts |
| Authorized Official Name and Position | Amy Sowa (VP OF FINANCE) |
| Authorized Official Contact | 4132058617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mindful Paths Psychological Testing 136 Dwight Rd Longmeadow MA 01106-2075 Ph: (774) 500-3837 | Mindful Paths Psychological Testing 32 Court St Ste 7 Plymouth MA 02360-8733 Ph: (774) 426-7707 |
| NPI Number | 1104390525 |
|---|---|
| Provider Enumeration Date | 01/18/2019 |
| Last Update Date | 07/30/2026 |
| Certification Date | 07/30/2026 |
| Medicare PECOS PAC ID | 8224361332 |
|---|---|
| Medicare Enrollment ID | O20190605000184 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104390525 | NPI | - | NPPES |
| Provider Name | Colleen Long |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558662445 PECOS PAC ID: 4183895741 Enrollment ID: I20160711001162 |
| Provider Name | Lauren Powell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285304980 PECOS PAC ID: 9436548708 Enrollment ID: I20211109000395 |
| Provider Name | Michael Glen Laster |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528404654 PECOS PAC ID: 0840633301 Enrollment ID: I20260520003815 |
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