Healthcare Provider Details

I. General information

NPI: 1124337563
Provider Name (Legal Business Name): SALISBURY PSYCHOLOGICAL ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/04/2010
Last Update Date: 10/04/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 FERRY ROAD
SALISBURY MA
01952-2605
US

IV. Provider business mailing address

30 FERRY ROAD
SALISBURY MA
01952-2605
US

V. Phone/Fax

Practice location:
  • Phone: 978-465-9139
  • Fax: 978-462-2941
Mailing address:
  • Phone: 978-465-9139
  • Fax: 978-462-2941

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number101706
License Number StateMA

VIII. Authorized Official

Name: MRS. PATRICIA A. CURTIS
Title or Position: OFFICE MANAGER
Credential:
Phone: 978-465-9139