Grant, Polly Walker
Grant, Polly Walker is an sole proprietor health care provider with primary practice located at 300 Ocean Ave. , Revere MA 02151. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Grant, Polly Walker can be contacted via phone (781) 485-6111.Contact Information
Primary practice address
300 Ocean Ave.
Revere MA 02151
Phone: (781) 485-6111
Fax: (781) 485-6119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 100125 | Massachusetts |
Profile Details
| NPI number | 1538286919 |
|---|---|
| LBN Legal business name | Grant, Polly Walker |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 23rd, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538286919 | NPPES |
| Massachusetts | Other | 100125 | LICSW |
| Massachusetts | Other | 004676 | LICSW |
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