Healthcare Provider Details

I. General information

NPI: 1497532048
Provider Name (Legal Business Name): NEW HEIGHTS NEUROPSYCHOLOGY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2023
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

51 UNION ST STE 222
WORCESTER MA
01608-1147
US

IV. Provider business mailing address

51 UNION ST STE 110
WORCESTER MA
01608-1134
US

V. Phone/Fax

Practice location:
  • Phone: 508-635-4360
  • Fax: 508-475-9579
Mailing address:
  • Phone: 508-974-3534
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103G00000X
TaxonomyClinical Neuropsychologist
License Number
License Number State

VIII. Authorized Official

Name: TESSA HAYES
Title or Position: MEMBER/MANAGER
Credential: LICSW
Phone: 508-635-4360