| Talb Pc | |
|
114 Old Amherst Rd Sunderland MA 01375-9558 | |
| (413) 345-2786 | |
| Not Available |
| Full Name | Talb Pc |
|---|---|
| Speciality | Social Worker |
| Location | 114 Old Amherst Rd, Sunderland, Massachusetts |
| Authorized Official Name and Position | Liam Botelho (PRACTICE MANAGER) |
| Authorized Official Contact | 7743921856 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Talb Pc 114 Old Amherst Rd Sunderland MA 01375-9558 Ph: () - | Talb Pc 114 Old Amherst Rd Sunderland MA 01375-9558 Ph: (413) 345-2786 |
| NPI Number | 1376314831 |
|---|---|
| Provider Enumeration Date | 01/12/2024 |
| Last Update Date | 01/12/2024 |
| Certification Date | 01/12/2024 |
| Medicare PECOS PAC ID | 8527401470 |
|---|---|
| Medicare Enrollment ID | O20240207001950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376314831 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Toni L Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558847756 PECOS PAC ID: 0345683298 Enrollment ID: I20240207001957 |
| Provider Name | Liam Botelho |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588236947 PECOS PAC ID: 6305289257 Enrollment ID: I20240509003670 |