MEDICARE: DR. JAMES F MUNROE ED.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
1	103T00000X	Psychologist	7725	MA

General Provider Information

NPI Number	:	1700992112
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES F MUNROE ED.D.

Provider Business Mailing Address
First Line	:	40 BAYBERRY HILL RD
Second Line	:
City	:	TOWNSEND
State	:	MA
Zip	:	01474-1121
Country	:	US
Telephone Number	:	978-597-5749
Fax Number	:

Provider Business Practice Location Address
First Line	:	40 BAYBERRY HILL RD
Second Line	:
City	:	TOWNSEND
State	:	MA
Zip	:	01474-1121
Country	:	US
Telephone Number	:	978-597-5749
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/21/2006
Last Update Date	:	07/12/2012

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