Provider Demographics
NPI:1285463372
Name:PSYCHOLOGY OFFICES OF DR. RICK HAFER, LLC
Entity type:Organization
Organization Name:PSYCHOLOGY OFFICES OF DR. RICK HAFER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:RODERICK
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:HAFER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:508-810-5337
Mailing Address - Street 1:9 JAMESON DR
Mailing Address - Street 2:
Mailing Address - City:MILLIS
Mailing Address - State:MA
Mailing Address - Zip Code:02054-0108
Mailing Address - Country:US
Mailing Address - Phone:508-810-5337
Mailing Address - Fax:
Practice Address - Street 1:9 JAMESON DR
Practice Address - Street 2:
Practice Address - City:MILLIS
Practice Address - State:MA
Practice Address - Zip Code:02054-0108
Practice Address - Country:US
Practice Address - Phone:508-810-5337
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-29
Last Update Date:2024-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health