Organization · Type 2 NPI

Clinical Assessment and Consultation

Addiction (Substance Use Disorder) Psychologist · Mashpee, MA

NPI number 1508165408 Active

Practice location

400 Nathan Ellis Hwy
Mashpee, MA 02878-0272

Fax (401) 624-7208

Mailing address

PO Box 272, 1061 Fish Road
Tiverton, RI 02878-0272

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Psychologist Primary 103TA0400XPS00671 (RI)

Addiction (Substance Use Disorder) Psychologist: A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behav…

About NPI 1508165408

Clinical Assessment and Consultation's National Provider Identifier is 1508165408, issued on Mar 18, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Psychologist (103TA0400X), and the practice location is in Mashpee, MA. The record was last updated on Mar 18, 2011.