Active NPIIndividual provider

Laura J Polvino, MA, LMHC

Counselor, Mental Health in Southborough, Massachusetts

NPI Number1083805402
Practice location
24 Newton St, Southborough, MA 01772-1215
Fax
508-460-3025
Last updated
August 9, 2007

Laura J. Polvino is a Counselor, Mental Health based in Southborough, MA. Laura J. Polvino practices in Southborough, MA and has the professional credentials of MA, LMHC. The NPI Number for Laura J. Polvino is 1083805402 and holds a License No. 5212 (MA). The current practice location address for Laura J. Polvino is 24 Newton St, Southborough, MA 01772-1215 and can be reached out via phone at 508-481-5500 and via fax at 508-460-3025.

Provider Profile Details

NPI Number
1083805402
Provider Name
Laura J. Polvino
Credential
MA, LMHC
Provider Entity Type
Individual
Gender
Female
Address
24 Newton St, Southborough, MA 01772-1215
Phone Number
508-481-5500
Fax Number
508-460-3025
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
August 9, 2007
Last Update Date
August 9, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
24 Newton St
Southborough, MA 01772-1215
Zip
01772-1215
Phone Number
508-481-5500
Fax Number
508-460-3025
Southborough, MA 01772Get directions →

Provider Business Mailing Address Details

Address
24 Newton St
Southborough, MA 01772-1215
City
Southborough
State
MA
Zip
01772-1215
Phone Number
508-481-5500
Fax Number
508-460-3025

License Information

License Number
5212
License State
MA
Taxonomy
Counselor, Mental Health · 101YM0800X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Laura J Polvino, MA, LMHC?

The NPI number of Laura J Polvino, MA, LMHC is 1083805402. It was assigned on August 9, 2007 and is currently active in the NPPES registry.

What is the specialty of Laura J Polvino, MA, LMHC?

Laura J Polvino, MA, LMHC is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in MA under license number 5212.

Where does Laura J Polvino, MA, LMHC practice?

The practice location is 24 Newton St, Southborough, MA 01772-1215. The office can be reached at 508-481-5500 (phone) or 508-460-3025 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1083805402 directly on the NPPES registry website.

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