Basic Information
| Provider Information | |||||||||
| NPI: | 1447349964 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MOSCOW | ||||||||
| FirstName: | DAWN | ||||||||
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| Credential: | LMHC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 51 CHERRY ST | ||||||||
| Address2: | |||||||||
| City: | WESTWOOD | ||||||||
| State: | MA | ||||||||
| PostalCode: | 020901535 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7813356000 | ||||||||
| FaxNumber: | 7813405358 | ||||||||
| Practice Location | |||||||||
| Address1: | 49 PLEASANT ST | ||||||||
| Address2: | |||||||||
| City: | WEYMOUTH | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021902435 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7813356000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/12/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | 5322 | MA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.