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NPI Code Detail

MEDICARE: SOPHIA C NAZZARO

MEDICARE: SOPHIA C NAZZARO
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
1106H00000XMarriage & Family Therapist

General Provider Information

NPI Number : 1962857557
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOPHIA C NAZZARO
Provider Business Mailing Address
First Line : 12 FAIRFIELD ST
Second Line :
City : HAVERHILL
State : MA
Zip : 01832-4508
Country : US
Telephone Number : 978-609-1542
Fax Number :
Provider Business Practice Location Address
First Line : 40 SHATTUCK RD STE 250
Second Line :
City : ANDOVER
State : MA
Zip : 01810-2492
Country : US
Telephone Number : 978-222-3121
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/02/2016
Last Update Date : 01/15/2024

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Directions to “ SOPHIA C NAZZARO ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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