MEDICARE: HALLIE THURLOW MED

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1588276778
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HALLIE THURLOW MED

Provider Business Mailing Address
First Line	:	176 SUMMER AVE
Second Line	:
City	:	READING
State	:	MA
Zip	:	01867-2824
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	352 PARK ST
Second Line	:
City	:	NORTH READING
State	:	MA
Zip	:	01864-2164
Country	:	US
Telephone Number	:	978-712-9775
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/19/2020
Last Update Date	:	04/07/2026

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Directions to “ HALLIE THURLOW MED” Practice Location

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