Organization
THINK-DIFF INSTITUTE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PANDORA LEE MACLEAN-HOOVER LICSW (FOUNDER)
(978) 726-3444
Entity
Organization
Contact information
Practice address
1666 MASSACHUSETTS AVE, SUITE F1, LEXINGTON, MA 02420-5317
(978) 726-3444
(978) 477-0312
Mailing address
176 WATER ST, NEWBURYPORT, MA 01950-3144
(978) 726-3444
(978) 477-0312
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
110705
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P22747
MEDICARE NUMBER
MA
Enumeration date
09/25/2013
Last updated
09/25/2013
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