Fenn, Terrel L.

Fenn, Terrel L. is an individual health care provider with primary practice located at 97 Lowell Rd Ste A-11 , Concord MA 01742-1733. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Fenn, Terrel L. can be contacted via phone (978) 968-8044.

Contact Information

Primary practice address
97 Lowell Rd Ste A-11 Concord MA 01742-1733
Phone: (978) 968-8044
Fax: (978) 447-1315
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 1026228 Massachusetts

Profile Details

NPI number 1578516266
LBN Legal business name Fenn, Terrel L.
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Nov 21st, 2020 - about 4 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 1578516266 NPPES
Massachusetts Other 691378 TUFTS HEALTH PLAN
Massachusetts Other P08245 TUFTS HEALTH PLAN

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