| Cory Cove Wellness Llc | |
|
41 Highland St Auburn MA 01501-2035 | |
| (774) 432-3063 | |
| Not Available |
| Full Name | Cory Cove Wellness Llc |
|---|---|
| Speciality | Psychologist - Group Psychotherapy |
| Location | 41 Highland St, Auburn, Massachusetts |
| Authorized Official Name and Position | Kasey Pendexter (OWNER) |
| Authorized Official Contact | 7744323063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cory Cove Wellness Llc 41 Highland St Auburn MA 01501-2035 Ph: (774) 432-3063 | Cory Cove Wellness Llc 41 Highland St Auburn MA 01501-2035 Ph: (774) 432-3063 |
| NPI Number | 1235709817 |
|---|---|
| Provider Enumeration Date | 06/28/2021 |
| Last Update Date | 06/28/2021 |
| Certification Date | 06/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235709817 | NPI | - | NPPES |
| 1992084321 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
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