| Organization Name: | WESTERN MASS PROFESSIONAL GROUP |
| NPI Number: | 1083074348 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SARAH ROMANO (CEO) |
| Mailing Address: | 175 Dwight Rd Suite 201 Longmeadow |
| State: | MA US |
| Postal Code: | 011061576 |
| Phone Number: | 4132500830 |
| Fax Number: | |
| NPI Enumeration Date: | 02/29/2016 |
| NPI Last Update Date: | 03/01/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 8739 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |