Gurevich, Tanya

Gurevich, Tanya is an individual health care provider with primary practice located at 95 West St , Walpole MA 02081-1819. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gurevich, Tanya can be contacted via phone (781) 437-1323.

Contact Information

Primary practice address
95 West St Walpole MA 02081-1819
Phone: (781) 437-1323
Fax:
Website:
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Health care specialties

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

Profile Details

NPI number 1295921195
LBN Legal business name Gurevich, Tanya
Credentials MSW INTERN
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 25th, 2007
Last updated Sep 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1295921195 NPPES
Massachusetts MEDICAID 1312677
Massachusetts Other M18708
Massachusetts Other 685661

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