Davila, Tanisha

Davila, Tanisha is an individual health care provider with primary practice located at 63 Fairmount St , Fitchburg MA 01420-7613. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Davila, Tanisha can be contacted via phone (978) 342-2709.

Contact Information

Primary practice address
63 Fairmount St Fitchburg MA 01420-7613
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1780076414
LBN Legal business name Davila, Tanisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 4th, 2015
Last updated Mar 4th, 2015 - about 11 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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