Do, Phuong Loan

Do, Phuong Loan is an individual health care provider with primary practice located at 264 N Main St Ste 10 , East Longmeadow MA 01028-1837. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Do, Phuong Loan can be contacted via phone (413) 244-0091.

Contact Information

Primary practice address
264 N Main St Ste 10 East Longmeadow MA 01028-1837
Phone: (413) 244-0091
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 116599 Massachusetts

Profile Details

NPI number 1467561316
LBN Legal business name Do, Phuong Loan
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Mar 17th, 2019 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467561316 NPPES
Massachusetts MEDICAID 1300881

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