Brucato, Tamara

Brucato, Tamara is an individual health care provider with primary practice located at 1030 Shive Ln , Bowling Green KY 42103. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Brucato, Tamara can be contacted via phone (270) 943-1851.

Contact Information

Primary practice address
1030 Shive Ln Bowling Green KY 42103
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 5907 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 253490 Kentucky

Profile Details

NPI number 1770829293
LBN Legal business name Brucato, Tamara
Credentials MSSW, LCSW, KPS
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2013
Last updated Aug 27th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1770829293 NPPES
Kentucky MEDICAID 7100543720
Kentucky MEDICAID 30604011

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