NPI 1447636352 · live from the CMS NPI Registry
Ancora Psychological, PLLC
Psychologist, Clinical in Wakefield, MA. National Provider Identifier 1447636352, active.
NPI record
| NPI | 1447636352 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Psychologist, Clinical 103TC0700X |
| Practice location | 591 North Ave, Door #3, First Floor, Wakefield, MA 01880 |
| Practice phone | 781-224-4202 |
| Enumerated | August 3, 2015 |
| Last updated | August 3, 2015 |
| Authorized official | Laurence Kelly, Clinical Psychologist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist, Clinical primary | 103TC0700X | 9422 (MA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.