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NPI Code Detail

MEDICARE: DAURICE MARIE COX PSY.D

MEDICARE: DAURICE MARIE COX PSY.D
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
1103TC0700XClinical Psychologist7528MA

General Provider Information

NPI Number : 1659599561
Entity Type Code : Individual
Provider Name (Legal Business Name) : DAURICE MARIE COX PSY.D
Provider Business Mailing Address
First Line : 18 SUNNYPLAIN CIR
Second Line :
City : WEYMOUTH
State : MA
Zip : 02188-1900
Country : US
Telephone Number : 617-471-8400
Fax Number :
Provider Business Practice Location Address
First Line : 1120 HANCOCK ST
Second Line :
City : QUINCY
State : MA
Zip : 02169-4313
Country : US
Telephone Number : 617-471-8400
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/23/2007
Last Update Date : 01/04/2016

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