| Grandview Psychological Services, Llc | |
|
1 W Foster St Suite 10 Melrose MA 02176-3810 | |
| (617) 306-9095 | |
| Not Available |
| Full Name | Grandview Psychological Services, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 1 W Foster St, Melrose, Massachusetts |
| Authorized Official Name and Position | Roger Davies (PRESIDENT) |
| Authorized Official Contact | 6173069095 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grandview Psychological Services, Llc 1 W Foster St Suite 10 Melrose MA 02176-3810 Ph: (617) 306-9095 | Grandview Psychological Services, Llc 1 W Foster St Suite 10 Melrose MA 02176-3810 Ph: (617) 306-9095 |
| NPI Number | 1215268610 |
|---|---|
| Provider Enumeration Date | 01/25/2010 |
| Last Update Date | 04/05/2011 |
| Medicare PECOS PAC ID | 5698950764 |
|---|---|
| Medicare Enrollment ID | O20110505000270 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215268610 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 3306 (Massachusetts) | Primary |
| Provider Name | Roger Davies |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1194785865 PECOS PAC ID: 6204980188 Enrollment ID: I20090811000601 |
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