| Norma L. Medway, Psy.d.pc | |
|
20 Park Ave Worcester MA 01605-3911 | |
| (508) 753-0358 | |
| Not Available |
| Full Name | Norma L. Medway, Psy.d.pc |
|---|---|
| Speciality | Psychologist |
| Location | 20 Park Ave, Worcester, Massachusetts |
| Authorized Official Name and Position | Norma Lorraine Medway (PSYCHOLOGIST) |
| Authorized Official Contact | 5087530358 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Norma L. Medway, Psy.d.pc 20 Park Ave Worcester MA 01605-3911 Ph: (508) 753-0358 | Norma L. Medway, Psy.d.pc 20 Park Ave Worcester MA 01605-3911 Ph: (508) 753-0358 |
| NPI Number | 1124176797 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 6507001179 |
|---|---|
| Medicare Enrollment ID | O20130402000388 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124176797 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 7535 (Massachusetts) | Primary |
| Provider Name | Norma L Medway |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1760576276 PECOS PAC ID: 8527039866 Enrollment ID: I20040802001141 |
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