| Change And Maintain Llc | |
|
10 Muzzey St Ste 9 Lexington MA 02421-5200 | |
| (508) 203-1069 | |
| Not Available |
| Full Name | Change And Maintain Llc |
|---|---|
| Speciality | Psychologist |
| Location | 10 Muzzey St Ste 9, Lexington, Massachusetts |
| Authorized Official Name and Position | Danielle Barry (PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 5082031069 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Change And Maintain Llc 16 Clarke St Ste B5 Lexington MA 02421-4938 Ph: () - | Change And Maintain Llc 10 Muzzey St Ste 9 Lexington MA 02421-5200 Ph: (508) 203-1069 |
| NPI Number | 1982475919 |
|---|---|
| Provider Enumeration Date | 01/09/2024 |
| Last Update Date | 08/13/2025 |
| Certification Date | 08/13/2025 |
| Medicare PECOS PAC ID | 7315385630 |
|---|---|
| Medicare Enrollment ID | O20240405001593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982475919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Danielle M. Barry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1508032095 PECOS PAC ID: 3476724881 Enrollment ID: I20180604000900 |
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