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General NPI Number Information
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NPI Number | 1407761067
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Entity Type | Organization
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Legal Business Name | MA PSYCHOTHERAPY
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Dates
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Enumeration Date | 08/18/2026
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Last Update Date | 08/18/2026
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Provider Practice Location Address
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Address Line | 35 SOUTH ST
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City | BARRE
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State | MA
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Zip | 01005-8890
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Country | US
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Telephone | 978-627-7819
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 604
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City | TEMPLETON
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State | MA
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Zip | 01468-0604
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Country | US
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Telephone | 978-627-7819
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Fax |
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Authorized Official
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Title or Position | PROVIDER/OWNER
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Name | MICHAEL CLYDE CUMMIGNS
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Credential | LMHC, LPC
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Telephone | 978-627-7819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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