Active NPIIndividual providerSole proprietor

Peyton R Provencher

Community/Behavioral Health in Woburn, Massachusetts

NPI Number1245833409
Practice location
5 Constitution Way Ste 6, Woburn, MA 01801-1199
Fax
—
Last updated
November 19, 2020

Peyton Ryley Provencher is a Community/Behavioral Health based in Woburn, MA. Peyton Ryley Provencher practices in Woburn, MA. The NPI Number for Peyton Ryley Provencher is 1245833409. The current practice location address for Peyton Ryley Provencher is 5 Constitution Way Ste 6, Woburn, MA 01801-1199 and can be reached out via phone at 888-754-0398.

Provider Profile Details

NPI Number
1245833409
Provider Name
Peyton Ryley Provencher
Provider Entity Type
Individual
Gender
Female
Address
5 Constitution Way Ste 6, Woburn, MA 01801-1199
Phone Number
888-754-0398
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Sole Proprietor
Yes
Provider Enumeration Date
November 19, 2020
Last Update Date
November 19, 2020
Certification Date
November 19, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
5 Constitution Way Ste 6
Woburn, MA 01801-1199
City
Woburn
Zip
01801-1199
Phone Number
888-754-0398
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
10 Homer Sq
Somerville, MA 02143-3003
City
Somerville
State
MA
Zip
02143-3003
Phone Number
207-835-9007

License Information

Taxonomy
Community/Behavioral Health · 251S00000X · 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 Peyton R Provencher?

The NPI number of Peyton R Provencher is 1245833409. It was assigned on November 19, 2020 and is currently active in the NPPES registry.

What is the specialty of Peyton R Provencher?

Peyton R Provencher is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).

Where does Peyton R Provencher practice?

The practice location is 5 Constitution Way Ste 6, Woburn, MA 01801-1199. The office can be reached at 888-754-0398 (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 1245833409 directly on the NPPES registry website.

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