Fenn, Terrel L.
Fenn, Terrel L. is an individual health care provider with primary practice located at 97 Lowell Rd Ste A-11 , Concord MA 01742-1733. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fenn, Terrel L. can be contacted via phone (978) 968-8044.Contact Information
Primary practice address
97 Lowell Rd Ste A-11
Concord MA 01742-1733
Phone: (978) 968-8044
Fax: (978) 447-1315
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1026228 | Massachusetts |
Profile Details
| NPI number | 1578516266 |
|---|---|
| LBN Legal business name | Fenn, Terrel L. |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 17th, 2006 |
| Last updated | Nov 21st, 2020 - about 6 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 | 1578516266 | NPPES |
| Massachusetts | Other | 691378 | TUFTS HEALTH PLAN |
| Massachusetts | Other | P08245 | TUFTS HEALTH PLAN |
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