| Somers Trust | |
|
873 Turnpike Street North Andover MA 01845 | |
| (978) 688-8004 | |
| (978) 686-8554 |
| Full Name | Somers Trust |
|---|---|
| Speciality | Psychologist |
| Location | 873 Turnpike Street, North Andover, Massachusetts |
| Authorized Official Name and Position | Harry J Somers (DIRECTOR) |
| Authorized Official Contact | 9786888004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Somers Trust 873 Turnpike Street North Andover MA 01845 Ph: (978) 688-8004 | Somers Trust 873 Turnpike Street North Andover MA 01845 Ph: (978) 688-8004 |
| NPI Number | 1578637740 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 09/09/2008 |
| Medicare PECOS PAC ID | 2668536723 |
|---|---|
| Medicare Enrollment ID | O20090204000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578637740 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
| Provider Name | Lonnie Stowe |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1093824690 PECOS PAC ID: 5496819559 Enrollment ID: I20090206000191 |
| Provider Name | Harry J Somers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386736163 PECOS PAC ID: 8325102312 Enrollment ID: I20120125000874 |
| Provider Name | Heather J Slack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801270236 PECOS PAC ID: 9537461181 Enrollment ID: I20160113002212 |
| Provider Name | Kristine Celona-mucci |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417300880 PECOS PAC ID: 4284914250 Enrollment ID: I20161208001100 |
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