| Institute For Spiritual Life And Psychotherapy Inc | |
|
17 Church St Hanover MA 02339-2315 | |
| (781) 264-4382 | |
| (781) 829-4347 |
| Full Name | Institute For Spiritual Life And Psychotherapy Inc |
|---|---|
| Speciality | Counselor |
| Location | 17 Church St, Hanover, Massachusetts |
| Authorized Official Name and Position | Laura Delaplain (CLINICAL DIRECTOR) |
| Authorized Official Contact | 7818260011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Institute For Spiritual Life And Psychotherapy Inc Po Box 2306 Hanover MA 02339-8306 Ph: (781) 264-4382 | Institute For Spiritual Life And Psychotherapy Inc 17 Church St Hanover MA 02339-2315 Ph: (781) 264-4382 |
| NPI Number | 1528317583 |
|---|---|
| Provider Enumeration Date | 09/06/2012 |
| Last Update Date | 03/30/2020 |
| Certification Date | 03/30/2020 |
| Medicare PECOS PAC ID | 9830520014 |
|---|---|
| Medicare Enrollment ID | O20200505000124 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528317583 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP1600X | Counselor - Pastoral | (Massachusetts) | Primary |
| Provider Name | Laura Z Delaplain |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1427135599 PECOS PAC ID: 8729169818 Enrollment ID: I20080115000297 |
| Provider Name | Joseph Carl Langone |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1821480401 PECOS PAC ID: 3779804091 Enrollment ID: I20150611001028 |
| Provider Name | Laura Elizabeth Bishop |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073955258 PECOS PAC ID: 9537590716 Enrollment ID: I20200505000246 |
| Provider Name | Robert A Jope |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1497854525 PECOS PAC ID: 6709237753 Enrollment ID: I20240104000641 |
| Provider Name | Heidi M Coughlin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1720302524 PECOS PAC ID: 3779935135 Enrollment ID: I20240122001961 |
| Provider Name | Dolores A Shea |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1023137296 PECOS PAC ID: 5991157372 Enrollment ID: I20240122002553 |
| Provider Name | Frances Cavallo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740569433 PECOS PAC ID: 5890147276 Enrollment ID: I20240122002603 |
| Provider Name | Kathleen Brennan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1104114024 PECOS PAC ID: 4385096619 Enrollment ID: I20240123000115 |
| Provider Name | Anke C Thorne |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1003983289 PECOS PAC ID: 9830542489 Enrollment ID: I20240130003118 |
| Provider Name | Judith B Mackenzie |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255418323 PECOS PAC ID: 9335592948 Enrollment ID: I20240131000951 |
| Provider Name | Robert T Brennan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1689123465 PECOS PAC ID: 8123464930 Enrollment ID: I20240314001505 |
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