| Eastern Psychotherapy And Consulting Pc | |
|
53 Twinturn Dr Brewster MA 02631-2846 | |
| (508) 776-1617 | |
| Not Available |
| Full Name | Eastern Psychotherapy And Consulting Pc |
|---|---|
| Speciality | Counselor |
| Location | 53 Twinturn Dr, Brewster, Massachusetts |
| Authorized Official Name and Position | Kelly Kirkbride (OWNER) |
| Authorized Official Contact | 5087761617 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastern Psychotherapy And Consulting Pc Po Box 413 Brewster MA 02631-0413 Ph: (508) 776-1617 | Eastern Psychotherapy And Consulting Pc 53 Twinturn Dr Brewster MA 02631-2846 Ph: (508) 776-1617 |
| NPI Number | 1467139584 |
|---|---|
| Provider Enumeration Date | 06/30/2023 |
| Last Update Date | 06/30/2023 |
| Certification Date | 06/30/2023 |
| Medicare PECOS PAC ID | 5092243717 |
|---|---|
| Medicare Enrollment ID | O20250109000227 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467139584 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kelly A Kirkbride |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548695612 PECOS PAC ID: 8527422302 Enrollment ID: I20250109000317 |
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