Collette, Martha Ann
Collette, Martha Ann is an sole proprietor health care provider with primary practice located at 24 Neptune St , Beverly MA 01915-4726. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Collette, Martha Ann can be contacted via phone (978) 921-5080.Contact Information
Primary practice address
24 Neptune St
Beverly MA 01915-4726
Phone: (978) 921-5080
Fax: (978) 927-1946
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 2347 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 2347 | Massachusetts |
Profile Details
| NPI number | 1467437608 |
|---|---|
| LBN Legal business name | Collette, Martha Ann |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Jul 8th, 2007 - about 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1467437608 | NPPES |
| Massachusetts | MEDICAID | 0507253 |
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