Healthcare Provider Details

I. General information

NPI: 1629303342
Provider Name (Legal Business Name): PHEBE B SESSIONS M.S.W., PH.D
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2009
Last Update Date: 10/14/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1236 MAIN ST SUITE 201
HOLYOKE MA
01040-5370
US

IV. Provider business mailing address

1236 MAIN ST SUITE 201
HOLYOKE MA
01040-5370
US

V. Phone/Fax

Practice location:
  • Phone: 413-687-3836
  • Fax: 413-536-7254
Mailing address:
  • Phone: 413-687-3836
  • Fax: 413-536-7254

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number114974
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: