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NPI Code Detail

MEDICARE: MRS. LEOMARY VASQUEZ M.ED

MEDICARE: MRS. LEOMARY VASQUEZ M.ED
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 CounselorLMHC10000037MA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1699965285
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LEOMARY VASQUEZ M.ED
Provider Business Mailing Address
First Line : 58 S ELM ST
Second Line :
City : BRADFORD
State : MA
Zip : 01835-7318
Country : US
Telephone Number : 978-912-2268
Fax Number :
Provider Business Practice Location Address
First Line : 200 SUTTON ST STE 120
Second Line :
City : NORTH ANDOVER
State : MA
Zip : 01845-1651
Country : US
Telephone Number : 774-206-1125
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/30/2007
Last Update Date : 11/01/2024

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