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NPI Code Detail

MEDICARE: PATRICIA ANN MCBRIDE MED

MEDICARE:   PATRICIA ANN MCBRIDE  MED
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 : 1497937965
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA ANN MCBRIDE MED
Provider Business Mailing Address
First Line : 19 SUTTON PL APT 1
Second Line :
City : AGAWAM
State : MA
Zip : 01001-1432
Country : US
Telephone Number : 413-426-0023
Fax Number :
Provider Business Practice Location Address
First Line : 44 SHERMAN ST
Second Line :
City : SPRINGFIELD
State : MA
Zip : 01109-3517
Country : US
Telephone Number : 413-426-0023
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/27/2007
Last Update Date : 12/28/2011

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Directions to “ PATRICIA ANN MCBRIDE MED” Practice Location

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