| Kaibigan Therapy | |
|
24 Maple St Needham MA 02492-2342 | |
| (617) 320-5450 | |
| Not Available |
| Full Name | Kaibigan Therapy |
|---|---|
| Speciality | Social Worker |
| Location | 24 Maple St, Needham, Massachusetts |
| Authorized Official Name and Position | Bethany Bonner (OWNER) |
| Authorized Official Contact | 6173205450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kaibigan Therapy 24 Maple St Needham MA 02492-2342 Ph: (617) 320-5450 | Kaibigan Therapy 24 Maple St Needham MA 02492-2342 Ph: (617) 320-5450 |
| NPI Number | 1780423228 |
|---|---|
| Provider Enumeration Date | 05/23/2024 |
| Last Update Date | 12/23/2024 |
| Certification Date | 12/23/2024 |
| Medicare PECOS PAC ID | 2567996572 |
|---|---|
| Medicare Enrollment ID | O20241113004213 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780423228 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Bethany B Bonner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770076812 PECOS PAC ID: 4385171743 Enrollment ID: I20241224000483 |
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