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NPI Code Detail

MEDICARE: MR. PAUL I KNOX RN LMHC

MEDICARE: MR. PAUL I KNOX RN LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor3213MA

General Provider Information

NPI Number : 1386784668
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL I KNOX RN LMHC
Provider Business Mailing Address
First Line : 22 MCGRATH HWY
Second Line : TWIN CITY OFFICES SUITE 204
City : SOMERVILLE
State : MA
Zip : 02143-4508
Country : US
Telephone Number : 617-623-1814
Fax Number : 617-623-1817
Provider Business Practice Location Address
First Line : 22 MCGRATH HWY
Second Line : TWIN CITY OFFICES SUITE 204
City : SOMERVILLE
State : MA
Zip : 02143-4508
Country : US
Telephone Number : 617-623-1814
Fax Number : 617-623-1817
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2007
Last Update Date : 07/08/2007

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Directions to “ MR. PAUL I KNOX RN LMHC” Practice Location

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