Peyton Ryley Provencher
Peyton Ryley Provencher is a Community/Behavioral Health Agency in Woburn, Massachusetts. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
5 Constitution Way Ste 6Woburn, MA 01801-1199
Phone: (888) 754-0398
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community/Behavioral Health Agency (primary) | Taxonomy 251S00000X |
|---|
Record details
| NPI number | 1245833409 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | November 19, 2020 |
| Last updated in NPPES | November 19, 2020 |
| Certification date | November 19, 2020 |
| Mailing address | 10 Homer Sq, Somerville, MA 02143-3003 |
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