Gurevich, Tanya
Gurevich, Tanya is an individual health care provider with primary practice located at 95 West St , Walpole MA 02081-1819. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Gurevich, Tanya can be contacted via phone (781) 437-1323.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X |
Profile Details
| NPI number | 1295921195 |
|---|---|
| LBN Legal business name | Gurevich, Tanya |
| Credentials | MSW INTERN |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2007 |
| Last updated | Sep 25th, 2007 - about 17 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 | 1295921195 | NPPES |
| Massachusetts | MEDICAID | 1312677 | |
| Massachusetts | Other | M18708 | |
| Massachusetts | Other | 685661 |
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