Individual
ANN COUSINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD, PMHCNS-BC
Contact information
Practice address
90 CONCORD AVE STE 2, BELMONT, MA 02478-4047
(617) 785-0411
(617) 489-8068
Mailing address
90 CONCORD AVE STE 2, BELMONT, MA 02478-4047
(617) 785-0411
(617) 489-8068
Taxonomy
Speciality
Code
Description
License number
State
364SP0809X
Adult Psychiatric/Mental Health Clinical Nurse Specialist
Primary
0088566
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PN0559
BXBS OF MA
MA
Enumeration date
04/06/2007
Last updated
07/29/2015
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