| Forward Progress Perforamnce Llc | |
|
55 Hollett St Scituate MA 02066 | |
| (781) 883-7066 | |
| Not Available |
| Full Name | Forward Progress Perforamnce Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 55 Hollett St, Scituate, Massachusetts |
| Authorized Official Name and Position | Michael A Goldberg (PRESIENT) |
| Authorized Official Contact | 7818837066 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Forward Progress Perforamnce Llc 1533 Blue Heron Dr Sarasota FL 34239-3702 Ph: (781) 883-7066 | Forward Progress Perforamnce Llc 55 Hollett St Scituate MA 02066 Ph: (781) 883-7066 |
| NPI Number | 1528650553 |
|---|---|
| Provider Enumeration Date | 02/10/2021 |
| Last Update Date | 02/10/2021 |
| Certification Date | 01/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528650553 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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