Individual ProviderWilliam J RaffertyPsychologistBehavioral Health & Social Service ProvidersPractice Address470 Washington St, Ste. 22, Norwood, MA 02062-2337(781) 769-9170PECOS EnrollmentBased on the most recent information from CMS, provider William J Rafferty does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1891781001Provider TypeIndividualFull NameRafferty, William JTitleDr.CredentialPH.D.GenderMaleSole ProprietorYesEnumeration Date9/22/2005Last Updated7/9/2007Contact InformationPractice LocationPractice Address470 Washington St, Ste. 22, Norwood, MA 02062-2337Phone(781) 769-9170Fax(781) 769-1016Mailing LocationMailing Address470 Washington St, Ste. 22, Norwood, MA 02062-2337Phone(781) 769-9170Fax(781) 769-1016Provider TaxonomiesCodeDescriptionLicenseCode103TC0700XPrimaryDescriptionPsychologistBehavioral Health & Social Service ProvidersLicense000421MassachusettsProvider IdentifiersIDDescriptionIssuerID0513562DescriptionMedicaidIssuerUnlistedMassachusetts