MRS. CHARLENE L ROSS
NPI 1104483874
Counselor - Mental Health in Hyde Park, MA
Active since May 28, 2019
About Mrs. Charlene L Ross NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. CHARLENE L ROSS (NPI 1104483874) is an individual mental health provider in Hyde Park, Massachusetts and active in the NPI registry since May 2019.
NPPES Registry Identity
NPI1104483874
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. CHARLENE L ROSS
Location Address695 TRUMAN HWYHyde Park, MA 02136-3552
Mailing Address82 Plymouth Dr Apt 1dNorwood, MA 02062-5473 · (617) 898-7030 · Fax (781) 688-8159
Phone(617) 898-7030
Fax(781) 688-8159
Sole ProprietorYes
Enumeration DateMay 28, 2019
Last NPPES UpdateJune 11, 20192 updates tracked since enumeration
✔ NPI 1104483874 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
695 TRUMAN HWY, Hyde Park, MA 02136
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104483874, enumerated as an "individual" on May 28, 2019.
The provider is located at 695 TRUMAN HWY HYDE PARK, MA 02136 and the phone number is (617) 898-7030.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
