Organization
GAFFNEY-LIVINGSTONECONSULTATION SERVICE
Active
Other names
Joanne Gaffney Livingstone, RN, LICSW
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN BENNETT LIVINGSTONE M.D. (DIRECTOR OF PSYCHIATRY)
(508) 487-0455
Entity
Organization
Contact information
Practice address
522 COMMERCIAL ST, PROVINCETOWN, MA 02657-2400
(508) 487-0455
(508) 487-5435
Mailing address
522 COMMERCIAL ST, PROVINCETOWN, MA 02657-2400
(508) 487-0455
(508) 487-5435
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
Primary
26290
LA
2084P0804X
Child & Adolescent Psychiatry Physician
26290
MA
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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