| Roger And Jessy Tnm Llc | |
|
275 Grover St Ste 2400 Newton MA 02466-1452 | |
| (310) 920-8544 | |
| Not Available |
| Full Name | Roger And Jessy Tnm Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 275 Grover St, Newton, Massachusetts |
| Authorized Official Name and Position | Jessy Lichter Maret (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3109208544 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roger And Jessy Tnm Llc 275 Grover St Ste 2400 Newton MA 02466-1452 Ph: (310) 920-8544 | Roger And Jessy Tnm Llc 275 Grover St Ste 2400 Newton MA 02466-1452 Ph: (310) 920-8544 |
| NPI Number | 1205719499 |
|---|---|
| Provider Enumeration Date | 07/28/2025 |
| Last Update Date | 07/28/2025 |
| Certification Date | 07/15/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205719499 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Secondary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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