Collamore, Maryellen Fairchild
Collamore, Maryellen Fairchild is an sole proprietor health care provider with primary practice located at 380 Highland St , South Hamilton MA 01982-1310. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Collamore, Maryellen Fairchild can be contacted via phone (978) 233-1226.Contact Information
Primary practice address
380 Highland St
South Hamilton MA 01982-1310
Phone: (978) 233-1226
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 81865 | California |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Music Therapist | 225A00000X | 09139 | Pennsylvania |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 121357 | Massachusetts |
Profile Details
| NPI number | 1124336920 |
|---|---|
| LBN Legal business name | Collamore, Maryellen Fairchild |
| Credentials | LICSW, LCSW, MT-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2010 |
| Last updated | May 28th, 2021 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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