| Neponset Valley Neuropsychology, Llc | |
|
45 Walpole St Ste 6 Norwood MA 02062-3319 | |
| (781) 769-1646 | |
| (781) 769-4696 |
| Full Name | Neponset Valley Neuropsychology, Llc |
|---|---|
| Speciality | Psychologist |
| Location | 45 Walpole St Ste 6, Norwood, Massachusetts |
| Authorized Official Name and Position | Deven M Mavani (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 7817691646 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Neponset Valley Neuropsychology, Llc 45 Walpole St Ste 6 Norwood MA 02062-3319 Ph: (781) 769-1646 | Neponset Valley Neuropsychology, Llc 45 Walpole St Ste 6 Norwood MA 02062-3319 Ph: (781) 769-1646 |
| NPI Number | 1356025928 |
|---|---|
| Provider Enumeration Date | 06/13/2023 |
| Last Update Date | 06/13/2023 |
| Certification Date | 06/13/2023 |
| Medicare PECOS PAC ID | 6800256819 |
|---|---|
| Medicare Enrollment ID | O20230721000459 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356025928 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Deven M Mavani |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1851652861 PECOS PAC ID: 6305104266 Enrollment ID: I20200312001680 |
| Provider Name | Ashley Marie Couto |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1558647883 PECOS PAC ID: 9830553551 Enrollment ID: I20230914000768 |
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