Provider Demographics
NPI:1982742102
Name:COOLIDGE, RAMSEY (LMHC)
Entity Type:Individual
Prefix:MS
First Name:RAMSEY
Middle Name:
Last Name:COOLIDGE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 STOREY AVE PMB 328
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-1869
Mailing Address - Country:US
Mailing Address - Phone:978-500-7514
Mailing Address - Fax:
Practice Address - Street 1:1244 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02118-2109
Practice Address - Country:US
Practice Address - Phone:978-500-7514
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3894101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA70010000LM0819OtherBCBS