Basic Information
Provider Information
NPI: 1215097035
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RAMSAY
FirstName: KERRY
MiddleName: A
NamePrefix: MRS.
NameSuffix:  
Credential: LMHC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName: MURTAGH
OtherFirstName: KERRY
OtherMiddleName: A
OtherNamePrefix: MISS
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType: 1
Mailing Information
Address1: 150 QUARRY ST
Address2: APT 309
City: QUINCY
State: MA
PostalCode: 02169
CountryCode: US
TelephoneNumber: 6173285955
FaxNumber:  
Practice Location
Address1: 37 BELMONT ST
Address2:  
City: BROCKTON
State: MA
PostalCode: 02301
CountryCode: US
TelephoneNumber: 5085804691
FaxNumber: 5085885751
Other Information
ProviderEnumerationDate: 12/11/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X4720MAY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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