| Notch Psychological Services Llc | |
|
26 S Prospect St Ste 5 Amherst MA 01002-2268 | |
| (413) 887-9553 | |
| Not Available |
| Full Name | Notch Psychological Services Llc |
|---|---|
| Speciality | Psychologist |
| Location | 26 S Prospect St Ste 5, Amherst, Massachusetts |
| Authorized Official Name and Position | Gillian Marie Woldorf (OWNER) |
| Authorized Official Contact | 4138879553 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Notch Psychological Services Llc Po Box 1277 Amherst MA 01004-1277 Ph: () - | Notch Psychological Services Llc 26 S Prospect St Ste 5 Amherst MA 01002-2268 Ph: (413) 887-9553 |
| NPI Number | 1457058984 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 02/15/2023 |
| Certification Date | 02/15/2023 |
| Medicare PECOS PAC ID | 1951758788 |
|---|---|
| Medicare Enrollment ID | O20231115002647 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457058984 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Gillian Marie Woldorf |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1154568848 PECOS PAC ID: 3274980016 Enrollment ID: I20231115003201 |
| Provider Name | Rosalyn Delia Devincentis |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164086963 PECOS PAC ID: 4183071921 Enrollment ID: I20231220001524 |
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