Fantini, Pamela
Fantini, Pamela is an sole proprietor health care provider with primary practice located at 20 Central St , Salem MA 01970-3739. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fantini, Pamela can be contacted via phone (781) 639-2359.Contact Information
Primary practice address
20 Central St
Salem MA 01970-3739
Phone: (781) 639-2359
Fax: (978) 745-5455
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PSY4599 | Massachusetts |
Profile Details
| NPI number | 1235287400 |
|---|---|
| LBN Legal business name | Fantini, Pamela |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235287400 | NPPES |
| Massachusetts | Other | 713383 | TUFTS HEALTH PLAN |
| Massachusetts | Other | 062918000 | TUFTS HEALTH PLAN |
| Massachusetts | Other | W04460 | TUFTS HEALTH PLAN |
| Massachusetts | Other | 124611 | TUFTS HEALTH PLAN |
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