| Larisa Kouperschmidt Md Llc | |
|
275 Turnpike St Ste 105 Canton MA 02021-2353 | |
| (617) 905-2697 | |
| Not Available |
| Full Name | Larisa Kouperschmidt Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 275 Turnpike St Ste 105, Canton, Massachusetts |
| Authorized Official Name and Position | Larisa Kouperschmidt (OWNER) |
| Authorized Official Contact | 6179052697 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Larisa Kouperschmidt Md Llc 246 Walnut St Ste 104 Newton MA 02460-1639 Ph: (617) 244-3322 | Larisa Kouperschmidt Md Llc 275 Turnpike St Ste 105 Canton MA 02021-2353 Ph: (617) 905-2697 |
| NPI Number | 1447594882 |
|---|---|
| Provider Enumeration Date | 11/26/2012 |
| Last Update Date | 03/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447594882 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 246627 (Massachusetts) | Primary |
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