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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHENIDE AUGUSTIN

Active Sole Proprietor

MICHENIDE AUGUSTIN is a Early Intervention Provider Agency healthcare provider located in BROCKTON, Massachusetts. NPI 1174960520 is currently active in the NPPES registry. Verify at CMS.

Early Intervention Provider Agency · BROCKTON, MA

Registration Details

NPI Number
1174960520
Provider Type
Individual
Gender
Female
NPI Issued
May 24, 2013 (13.248153154642 yrs)
Last Updated
May 24, 2013
Sole Proprietor
Yes

Practice Information

Address
1115 W CHESTNUT ST
BROCKTON, MA, 023017501
Browse MA providers · Browse ZIP 02301
Phone
5085804691
Primary Specialty
Early Intervention Provider Agency
252Y00000X

Other Early Intervention Provider Agency Providers in BROCKTON, MA

Name Credential NPI
NATALIE LOCKHART 1548744139
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.