MEDICARE: THE WAY TO BETTER, INC.

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
1	1041C0700X	Clinical Social Worker	1021138	MA

General Provider Information

NPI Number	:	1467890459
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE WAY TO BETTER, INC.

Provider Business Mailing Address
First Line	:	25 MAIN ST STE 6
Second Line	:
City	:	WAYLAND
State	:	MA
Zip	:	01778-5036
Country	:	US
Telephone Number	:	617-645-5048
Fax Number	:	508-653-4776

Provider Business Practice Location Address
First Line	:	25 MAIN ST STE 6
Second Line	:
City	:	WAYLAND
State	:	MA
Zip	:	01778-5036
Country	:	US
Telephone Number	:	617-645-5048
Fax Number	:	508-653-4776

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. CHARLES ADLOW GLAZIER
Credential	:	LICSW
Telephone Number	:	617-645-5048

Provider Enumeration Date	:	06/12/2013
Last Update Date	:	06/12/2013

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