| Mccool Psychotherapy LLC | |
|
93 Main St Ste 213 Andover MA 01810-3847 | |
| (978) 885-2278 | |
| (978) 685-8233 |
| Full Name | Mccool Psychotherapy LLC |
|---|---|
| Speciality | Social Worker |
| Location | 93 Main St Ste 213, Andover, Massachusetts |
| Authorized Official Name and Position | Deborah Mccool (OWNER) |
| Authorized Official Contact | 9788852278 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mccool Psychotherapy LLC 4 Maple Ridge Rd Methuen MA 01844-4166 Ph: (978) 885-2278 | Mccool Psychotherapy LLC 93 Main St Ste 213 Andover MA 01810-3847 Ph: (978) 885-2278 |
| NPI Number | 1013555820 |
|---|---|
| Provider Enumeration Date | 12/12/2019 |
| Last Update Date | 12/12/2019 |
| Certification Date | 12/12/2019 |
| Medicare PECOS PAC ID | 7214365816 |
|---|---|
| Medicare Enrollment ID | O20200313001168 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013555820 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Deborah Licsw Mccool |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215245923 PECOS PAC ID: 3678891595 Enrollment ID: I20150406000525 |
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