Provider Demographics
NPI:1073391645
Name:NEW ENGLAND FERTILITY COUNSELING, PLLC
Entity Type:Organization
Organization Name:NEW ENGLAND FERTILITY COUNSELING, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATIE
Authorized Official - Middle Name:AGUAYO
Authorized Official - Last Name:ZWEIFEL
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, PMH-C
Authorized Official - Phone:617-855-9289
Mailing Address - Street 1:246 MAIN ST STE 9
Mailing Address - Street 2:
Mailing Address - City:WALPOLE
Mailing Address - State:MA
Mailing Address - Zip Code:02081-4068
Mailing Address - Country:US
Mailing Address - Phone:617-855-9289
Mailing Address - Fax:
Practice Address - Street 1:246 MAIN ST STE 9
Practice Address - Street 2:
Practice Address - City:WALPOLE
Practice Address - State:MA
Practice Address - Zip Code:02081-4068
Practice Address - Country:US
Practice Address - Phone:617-855-9289
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-15
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty