Fantini, Pamela

Fantini, Pamela is an sole proprietor health care provider with primary practice located at 20 Central St , Salem MA 01970-3739. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fantini, Pamela can be contacted via phone (781) 639-2359.

Contact Information

Primary practice address
20 Central St Salem MA 01970-3739
Fax: (978) 745-5455
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY4599 Massachusetts

Profile Details

NPI number 1235287400
LBN Legal business name Fantini, Pamela
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 6th, 2007
Last updated Jul 8th, 2007 - about 18 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 1235287400 NPPES
Massachusetts Other 713383 TUFTS HEALTH PLAN
Massachusetts Other 062918000 TUFTS HEALTH PLAN
Massachusetts Other W04460 TUFTS HEALTH PLAN
Massachusetts Other 124611 TUFTS HEALTH PLAN

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