Mindy Sue Kopolow in Woburn - Mental Health
Mindy Sue Kopolow - NPI 1053583120
Mindy Sue Kopolow is a Mental Health in Woburn, Massachusetts. Mindy Sue Kopolow practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Mindy Sue Kopolow is 1053583120. The last update date is 2013-04-04.
Mindy Sue Kopolow's current location address is 400 W Cummings Park, Woburn, Massachusetts. You can contact this provider via phone number 6179725055 and fax number 6179725011. The mailing address for Mindy Sue Kopolow is 400 W Cummings Park, Woburn, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mindy Sue Kopolow |
|---|---|
| Address | 400 W Cummings Park, Woburn, Massachusetts |
| Phone Number | 6179725055 |
| Fax Number | 6179725011 |
| Sole Proprietor | Y |
| Credentials | M.A., PSY. |
NPI Number Detail
| NPI Number | 1053583120 |
|---|---|
| Provider Enumeration Date | 2008-03-29 |
| Last Updated Date | 2013-04-04 |
Provider Mailing Address Detail
| Address | 400 W Cummings Park |
|---|---|
| City | Woburn |
| State | Massachusetts (MA) |
| Post Code | 18016519 |
| Phone Number | 6179725055 |
| Fax Number | 6179725011 |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | 851 |
|
Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 54439 | FL | BCBS OF FLORIDA |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mindy Sue Kopolow by the Centers for Medicare & Medicaid Services?
The Mindy Sue Kopolow has been issued the NPI (National Provider Identifier) 1053583120, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Mindy Sue Kopolow is geographically located?
The Mindy Sue Kopolow is physically situated at the following location: 400 W Cummings Park, Woburn, MA, 18016519.
What is the Mindy Sue Kopolow's area of specialization and corresponding taxonomy classification?
The Mindy Sue Kopolow's specialty field is Mental Health, and it falls under the taxonomy code 101Ym0800X, which categorizes healthcare providers based on their specialties.
On what date was the 1053583120 assigned to Mindy Sue Kopolow?
The Mindy Sue Kopolow was issued its 1053583120 on 2008-03-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Mindy Sue Kopolow most recently updated or refreshed?
The details pertaining to the Mindy Sue Kopolow, including its address, specialty, and other relevant information, were last updated or refreshed on 2013-04-04.