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NPI Code Detail

MEDICARE: KARYN CLIFFORD

MEDICARE: KARYN CLIFFORD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1033255849
Entity Type Code : Individual
Provider Name (Legal Business Name) : KARYN CLIFFORD
Provider Business Mailing Address
First Line : 465 FOREST ST
Second Line :
City : BRIDGEWATER
State : MA
Zip : 02324-2914
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 94 S MAIN ST
Second Line :
City : MIDDLEBORO
State : MA
Zip : 02346-2123
Country : US
Telephone Number : 508-947-6100
Fax Number : 508-947-6811
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 07/08/2007

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Directions to “ KARYN CLIFFORD ” Practice Location

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