Gorohovsky, Tatjana

Gorohovsky, Tatjana is an individual health care provider with primary practice located at 205 Burlington Rd , Bedford MA 01730. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Gorohovsky, Tatjana can be contacted via phone (781) 761-5089.

Contact Information

Primary practice address
205 Burlington Rd Bedford MA 01730
Phone: (781) 761-5089
Fax: (781) 275-7207
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Developmental Therapist 222Q00000X S71093474 Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1710431606
LBN Legal business name Gorohovsky, Tatjana
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2016
Last updated Oct 21st, 2019 - about 5 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 1710431606 NPPES
Massachusetts Other 1004745 FALLON
Massachusetts Other 0000023532 FALLON
Massachusetts Other 042611055 FALLON
Massachusetts Other 1004745 FALLON
Massachusetts Other 99618201 FALLON
Massachusetts Other 1303287 FALLON
Massachusetts Other M18633 FALLON

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