| Cdph Services LLC | |
|
40 Shattuck Rd Ste 220 Andover MA 01810-2456 | |
| (978) 494-4889 | |
| Not Available |
| Full Name | Cdph Services LLC |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 40 Shattuck Rd Ste 220, Andover, Massachusetts |
| Authorized Official Name and Position | Chandler Diffily (NURSE PRACTITIONER) |
| Authorized Official Contact | 9783355164 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cdph Services LLC 6 Ellsworth Rd Andover MA 01810-4256 Ph: (978) 335-5164 | Cdph Services LLC 40 Shattuck Rd Ste 220 Andover MA 01810-2456 Ph: (978) 494-4889 |
| NPI Number | 1376328237 |
|---|---|
| Provider Enumeration Date | 08/29/2023 |
| Last Update Date | 08/29/2023 |
| Certification Date | 08/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376328237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (NU) | Primary |
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