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NPI Code Detail

MEDICARE: PATRICIA A ROBERTS LADC

MEDICARE:   PATRICIA A ROBERTS  LADC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor10380MA

General Provider Information

NPI Number : 1609365279
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA A ROBERTS LADC
Provider Business Mailing Address
First Line : 1089 PARK ST
Second Line :
City : PALMER
State : MA
Zip : 01069-1782
Country : US
Telephone Number : 774-232-8609
Fax Number :
Provider Business Practice Location Address
First Line : 165 MILL ST UNIT 2
Second Line :
City : LEOMINSTER
State : MA
Zip : 01453-3594
Country : US
Telephone Number : 978-227-1046
Fax Number : 978-400-5608
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2018
Last Update Date : 05/27/2026

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Directions to “ PATRICIA A ROBERTS LADC” Practice Location

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