Organization Name: | COLE PSYCHOLOGICAL AND ASSESSMENT SERVICES LLC |
NPI Number: | 1194018036 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CAROLINE COLE (CLINICAL PSYCHOLOGIST) |
Mailing Address: | 300 W Main St Bldg. B Suite 211 Northborough |
State: | MA US |
Postal Code: | 015322132 |
Phone Number: | 5083934700 |
Fax Number: | |
NPI Enumeration Date: | 05/25/2011 |
NPI Last Update Date: | 05/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 8822 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |