JACKIE MASCHER PHD LLC NPI 1104579085

NPI Information

JACKIE MASCHER PHD LLC is an adult mental health clinic center in West Roxbury, MA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. JACKIE MASCHER PHD LLC NPI is 1104579085. The provider is registered as an organization entity type.

The provider's business location address is:

32 COTUIT ST
WEST ROXBURY, MA
ZIP 02132-222
Phone: (617) 615-6296

The provider's authorized official is Jackie Mascher .
The authorized official title is Owner and has the following contact phone number (617) 615-6296.

The enumeration date for this NPI number is 1/31/2022 and was last updated on 1/31/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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