Rafferty, Teresa M

Rafferty, Teresa M is an individual health care provider with primary practice located at 29 Forest St , Worcester MA 01609-1729. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rafferty, Teresa M can be contacted via phone (508) 752-3009.

Contact Information

Primary practice address
29 Forest St Worcester MA 01609-1729
Phone: (508) 752-3009
Fax: (508) 791-1195
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MA106303 Massachusetts

Profile Details

NPI number 1215981204
LBN Legal business name Rafferty, Teresa M
Credentials LICSW, PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2006
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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215981204 NPPES
Massachusetts Other PO992 BLUE CROSS BLUE SHIELD

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