Organization
BALDPATE PSYCHIATRIC ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA A HATHAWAY (ASSISTANT OFFICE MANAGER)
(978) 352-2131
Entity
Organization
Contact information
Practice address
83 BALDPATE RD, GEORGETOWN, MA 01833
(978) 352-2131
Mailing address
83 BALDPATE RD, GEORGETOWN, MA 01833
(978) 352-2131
Taxonomy
Speciality
Code
Description
License number
State
103TP0814X
Psychoanalysis Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
104892
MAGELLAN
—
05
—
1899473
—
MA
01
—
BAM12617
BLUE CROSS
MA
Enumeration date
08/23/2006
Last updated
08/22/2020
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