| Emh Associates, Pllc | |
|
2 Dundee Park Dr Ste 301 Andover MA 01810-3725 | |
| (617) 256-7616 | |
| Not Available |
| Full Name | Emh Associates, Pllc |
|---|---|
| Speciality | Social Worker |
| Location | 2 Dundee Park Dr Ste 301, Andover, Massachusetts |
| Authorized Official Name and Position | Nicole Frances Fagone (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6172567616 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emh Associates, Pllc 640 Andover St Lowell MA 01852-1532 Ph: (617) 256-7616 | Emh Associates, Pllc 2 Dundee Park Dr Ste 301 Andover MA 01810-3725 Ph: (617) 256-7616 |
| NPI Number | 1215618210 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Medicare PECOS PAC ID | 0941650469 |
|---|---|
| Medicare Enrollment ID | O20231226001407 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215618210 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bonnie L. Cannon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609354711 PECOS PAC ID: 3577913094 Enrollment ID: I20231226001448 |
| Provider Name | Elizabeth Catherine Granata |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417516261 PECOS PAC ID: 6002266525 Enrollment ID: I20231226001568 |
| Provider Name | Erin Loehner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225816945 PECOS PAC ID: 1557711942 Enrollment ID: I20231227002558 |
| Provider Name | Katrina Frances Martino |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023614088 PECOS PAC ID: 9234589508 Enrollment ID: I20231228002450 |
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