Healthcare Provider Details

I. General information

NPI: 1922279033
Provider Name (Legal Business Name): N E PSYCHOLOGICAL CONSULTANTS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2008
Last Update Date: 09/13/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

45 MERRIMACK ST STE. 502
LOWELL MA
01852-1729
US

IV. Provider business mailing address

45 MERRIMACK ST STE. 502
LOWELL MA
01852-1729
US

V. Phone/Fax

Practice location:
  • Phone: 978-452-7038
  • Fax: 978-452-7008
Mailing address:
  • Phone: 978-452-7038
  • Fax: 978-452-7008

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code103TA0400X
TaxonomyAddiction (Substance Use Disorder) Psychologist
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code103TA0700X
TaxonomyAdult Development & Aging Psychologist
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 6
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code103TC2200X
TaxonomyClinical Child & Adolescent Psychologist
License Number
License Number State
# 8
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: NITA GUZMAN
Title or Position: PRES. OF NEW ENGLAND PSYC. CON.
Credential: PSY.D.
Phone: 978-452-7038