MEDICARE: KRISTINE JILL HEALEY

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	126674	MA

General Provider Information

NPI Number	:	1841512993
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KRISTINE JILL HEALEY

Provider Business Mailing Address
First Line	:	89 HIGHRIDGE RD
Second Line	:
City	:	BELLINGHAM
State	:	MA
Zip	:	02019-1869
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4 MOUNT ROYAL AVE STE 360
Second Line	:
City	:	MARLBOROUGH
State	:	MA
Zip	:	01752-1961
Country	:	US
Telephone Number	:	978-222-3121
Fax Number	:

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

Provider Enumeration Date	:	02/17/2010
Last Update Date	:	07/28/2023

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Directions to “ KRISTINE JILL HEALEY ” Practice Location

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