Gupta, Komal
Gupta, Komal is an individual health care provider with primary practice located at 57 Highland Ave 2Nd Floor, Salem MA 01970-2141. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gupta, Komal can be contacted via phone (978) 354-2705.Contact Information
Primary practice address
57 Highland Ave 2Nd Floor
Salem MA 01970-2141
Phone: (978) 354-2705
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 9678 | Massachusetts |
Profile Details
| NPI number | 1639364151 |
|---|---|
| LBN Legal business name | Gupta, Komal |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 7th, 2007 |
| Last updated | Oct 13th, 2021 - about 3 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 | 1639364151 | NPPES |
| Massachusetts | Other | 003388301 | MEDICARE |
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