MICHENIDE AUGUSTIN

Early Intervention Provider Agency

Active Individual
NPI: 1174960520

Practice Address

1115 W CHESTNUT ST
Brockton, MA 02301

Phone: (508) 580-4691

Specialties

Specialty Code Primary License
Early Intervention Provider Agency 252Y00000X Yes -

Frequently Asked Questions

NPI 1174960520 is the National Provider Identifier for MICHENIDE AUGUSTIN, a Early Intervention Provider Agency provider located in Brockton, MA. This NPI was enumerated on May 24, 2013.
MICHENIDE AUGUSTIN practices at 1115 W CHESTNUT ST, Brockton, MA 02301.

Quick Facts

NPI
1174960520
Type
Individual
Enumerated
May 24, 2013
Last Updated
May 24, 2013

Nearby Providers