Tashiro, Mary L
Tashiro, Mary L is an individual health care provider with primary practice located at 2235 E 25Th St , Idaho Falls ID 83404-7519. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Tashiro, Mary L can be contacted via phone (208) 522-9812.Contact Information
Primary practice address
2235 E 25Th St
Idaho Falls ID 83404-7519
Phone: (208) 522-9812
Fax: (208) 522-9859
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LCSW-32597 | Idaho |
Profile Details
| NPI number | 1346501061 |
|---|---|
| LBN Legal business name | Tashiro, Mary L |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 30th, 2012 |
| Last updated | Sep 30th, 2013 - about 13 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 | 1346501061 | NPPES |
| Idaho | MEDICAID | 805405600 |
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