| Dr Jessica L Gashin, Llc | |
|
23 Pleasant St Newton Centre MA 02459-1836 | |
| (617) 564-0382 | |
| Not Available |
| Full Name | Dr Jessica L Gashin, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 23 Pleasant St, Newton Centre, Massachusetts |
| Authorized Official Name and Position | Jessica Laurel Gashin (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6175640382 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jessica L Gashin, Llc 23 Pleasant St Newton Centre MA 02459-1836 Ph: () - | Dr Jessica L Gashin, Llc 23 Pleasant St Newton Centre MA 02459-1836 Ph: (617) 564-0382 |
| NPI Number | 1487031688 |
|---|---|
| Provider Enumeration Date | 04/27/2015 |
| Last Update Date | 09/10/2021 |
| Certification Date | 09/07/2021 |
| Medicare PECOS PAC ID | 3375946221 |
|---|---|
| Medicare Enrollment ID | O20210729001484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487031688 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 9645 (Massachusetts) | Primary |
| Provider Name | Ida L Kellison |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346508140 PECOS PAC ID: 2062677065 Enrollment ID: I20120625000519 |
| Provider Name | Haroon Malik |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710533187 PECOS PAC ID: 9133522006 Enrollment ID: I20210729002218 |
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