Individual
DR. JOSEPH R MCCOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
1350 BELMONT STREET, SUITE 103, BROCKTON, MA 02301-4430
(508) 580-2137
(508) 559-6143
Mailing address
1350 BELMONT STREET, SUITE 103, BROCKTON, MA 02301-4430
(508) 580-2137
(508) 559-6143
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2085
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
S004933
CHAMPUS
—
01
—
W02273
BCBS MA
MA
Enumeration date
09/21/2006
Last updated
07/08/2007
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