Provider Demographics
NPI:1982615811
Name:ABRAMS, JOHN MICHAEL (PHD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:MICHAEL
Last Name:ABRAMS
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:J.
Other - Middle Name:MICHAEL
Other - Last Name:ABRAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:3 DUNDEE PARK DR
Mailing Address - Street 2:SUITE 203
Mailing Address - City:ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01810-3751
Mailing Address - Country:US
Mailing Address - Phone:978-475-3590
Mailing Address - Fax:978-475-7620
Practice Address - Street 1:3 DUNDEE PARK DR
Practice Address - Street 2:SUITE 203
Practice Address - City:ANDOVER
Practice Address - State:MA
Practice Address - Zip Code:01810-3751
Practice Address - Country:US
Practice Address - Phone:978-475-3590
Practice Address - Fax:978-475-7620
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2013-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7128103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist