| Jaclyn B. Devine PsyD PLLC | |
|
204 Andover St Ste 403 Andover MA 01810-5702 | |
| (718) 607-9081 | |
| Not Available |
| Full Name | Jaclyn B. Devine PsyD PLLC |
|---|---|
| Speciality | Psychologist |
| Location | 204 Andover St Ste 403, Andover, Massachusetts |
| Authorized Official Name and Position | Jaclyn Devine (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7186079081 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jaclyn B. Devine PsyD PLLC 51 Winding Pond Rd Londonderry NH 03053-3371 Ph: (718) 607-9081 | Jaclyn B. Devine PsyD PLLC 204 Andover St Ste 403 Andover MA 01810-5702 Ph: (718) 607-9081 |
| NPI Number | 1386293496 |
|---|---|
| Provider Enumeration Date | 09/11/2019 |
| Last Update Date | 09/11/2019 |
| Medicare PECOS PAC ID | 4688006778 |
|---|---|
| Medicare Enrollment ID | O20191111002191 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386293496 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (NU) | Primary |
| Provider Name | Jaclyn B Devine |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932261237 PECOS PAC ID: 4880824168 Enrollment ID: I20150421001989 |
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