Preston, Michael J

Preston, Michael J is an individual health care provider with primary practice located at 169 Libbey Industrial Pkwy 2Nd Floor, Weymouth MA 02189-3101. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Health Service. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Preston, Michael J can be contacted via phone (781) 682-1060.

Contact Information

Primary practice address
169 Libbey Industrial Pkwy 2Nd Floor Weymouth MA 02189-3101
Phone: (781) 682-1060
Fax: (781) 682-1061
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 4195 Massachusetts
Behavioral Health & Social Service Providers / Health Service 103TH0100X 4195 Massachusetts

Profile Details

NPI number 1871673269
LBN Legal business name Preston, Michael J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Mar 4th, 2010 - about 15 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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Identifiers

StateTypeNumberIssuer
All States NPI 1871673269 NPPES
Maryland Other 461315000 MAGELLAN PROVIDER NUMBER
Maryland Other 1047128 MAGELLAN PROVIDER NUMBER
Maryland Other 6101022 MAGELLAN PROVIDER NUMBER
Maryland MEDICAID 0503509 MAGELLAN PROVIDER NUMBER
Maryland Other W06395 MAGELLAN PROVIDER NUMBER

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