| Direct Decision Institute, Inc. | |
|
338 Highland St Worcester MA 01602-2143 | |
| (508) 798-2399 | |
| (508) 809-3806 |
| Full Name | Direct Decision Institute, Inc. |
|---|---|
| Speciality | Psychologist |
| Location | 338 Highland St, Worcester, Massachusetts |
| Authorized Official Name and Position | Leo F Polizoti (PRESIDENT) |
| Authorized Official Contact | 5087982399 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Decision Institute, Inc. 338 Highland St Worcester MA 01602-2143 Ph: (508) 798-2399 | Direct Decision Institute, Inc. 338 Highland St Worcester MA 01602-2143 Ph: (508) 798-2399 |
| NPI Number | 1285078824 |
|---|---|
| Provider Enumeration Date | 04/25/2013 |
| Last Update Date | 04/25/2013 |
| Medicare PECOS PAC ID | 4284874827 |
|---|---|
| Medicare Enrollment ID | O20130703000016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285078824 | NPI | - | NPPES |
| 0506141 | Medicaid | MA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP2701X | Psychologist - Group Psychotherapy | (* (Not Available)) | Primary |
| Provider Name | Leo F Polizoti |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1356452528 PECOS PAC ID: 2567645666 Enrollment ID: I20110328000531 |
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