Peal, Tatiana

Peal, Tatiana is an individual health care provider with primary practice located at 702 Russell Ave Ste 100 , Gaithersburg MD 20877-2605. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavior Technician, Behavioral Health & Social Service Providers / Social Worker. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Peal, Tatiana can be contacted via phone (301) 330-0006.

Contact Information

Primary practice address
702 Russell Ave Ste 100 Gaithersburg MD 20877-2605
Phone: (301) 330-0006
Fax: (301) 330-0444
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Behavioral Health & Social Service Providers / Social Worker 104100000X 26663 Maryland

Profile Details

NPI number 1265947287
LBN Legal business name Peal, Tatiana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2017
Last updated Apr 7th, 2021 - about 5 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 1265947287 NPPES
Maryland Other LMSW26663 STATE BOARD OF SOCIAL WORK EXAMINERS

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