Laura Ann Crotty

Individual provider Active NPI Community/Behavioral Health Agency · Cherry Valley, MA

NPI 1477065886 · NPPES record last updated Oct 26, 2017

Key facts

NPI
1477065886
Entity type
Individual (NPI type 1)
Primary specialty
Community/Behavioral Health Agency 251S00000X
Practice address
48 Brown St
Cherry Valley, MA 01611-3157
Phone
(774) 696-4502
NPI assigned
Oct 26, 2017
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Yes

Addresses

Primary practice location

48 Brown St
Cherry Valley, MA 01611-3157

Mailing address

48 Brown St
Cherry Valley, MA 01611-3157
Phone (774) 696-4502

Other providers in Cherry Valley, MA

All providers in Cherry Valley, MA · Community/Behavioral Health Agency in Massachusetts

Sources for this page

Verify at the official NPI Registry.