Organization
JACKIE MASCHER PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JACKIE MASCHER PHD (OWNER)
(617) 615-6296
Entity
Organization
Contact information
Practice address
32 COTUIT ST, WEST ROXBURY, MA 02132-4222
(617) 615-6296
Mailing address
32 COTUIT ST, WEST ROXBURY, MA 02132-4222
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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