Active NPIIndividual providerSole proprietor

Dr. Teodolinda W Pique, PSYD

Psychologist, Clinical in Lowell, Massachusetts

NPI Number1124301429
Practice location
100 Merrimack St, Suite 205-F, Lowell, MA 01852-1708
Fax
—
Last updated
March 22, 2019

Teodolinda Wayshak Pique is a Psychologist, Clinical based in Lowell, MA. Teodolinda Wayshak Pique practices in Lowell, MA and has the professional credentials of PSYD. The NPI Number for Teodolinda Wayshak Pique is 1124301429 and holds a License No. 9449 (MA). The current practice location address for Teodolinda Wayshak Pique is 100 Merrimack St, Suite 205-F, Lowell, MA 01852-1708 and can be reached out via phone at 510-332-1819.

Provider Profile Details

NPI Number
1124301429
Provider Name
Teodolinda Wayshak Pique
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
100 Merrimack St, Suite 205-F, Lowell, MA 01852-1708
Phone Number
510-332-1819
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 22, 2011
Last Update Date
March 22, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Merrimack St
Suite 205-F
Lowell, MA 01852-1708
City
Lowell
Zip
01852-1708
Phone Number
510-332-1819
Lowell, MA 01852Get directions →

Provider Business Mailing Address Details

Address
35 Riverwalk Way Unit 108
Lowell, MA 01854-3651
City
Lowell
State
MA
Zip
01854-3651
Phone Number
510-332-1819

License Information

License Number (1)
9449
License State (1)
MA
Taxonomy (1)
Psychologist · 103T00000X
License Number (2)
9449
License State (2)
MA
Taxonomy (2)
Psychologist, Clinical · 103TC0700X · Primary
License Number (3)
PSY19127
License State (3)
CA
Taxonomy (3)
Psychologist, Clinical · 103TC0700X

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 Dr. Teodolinda W Pique, PSYD?

The NPI number of Dr. Teodolinda W Pique, PSYD is 1124301429. It was assigned on September 22, 2011 and is currently active in the NPPES registry.

What is the specialty of Dr. Teodolinda W Pique, PSYD?

Dr. Teodolinda W Pique, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 9449.

Where does Dr. Teodolinda W Pique, PSYD practice?

The practice location is 100 Merrimack St, Suite 205-F, Lowell, MA 01852-1708. The office can be reached at 510-332-1819 (phone).

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 1124301429 directly on the NPPES registry website.

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