Ly, Monica Tam

Ly, Monica Tam is an individual health care provider with primary practice located at 725 Albany Street, Suite 7B Shapiro Bldg, Boston MA 02118. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as her primary health care specialty. Ly, Monica Tam can be contacted via phone (617) 638-8456.

Contact Information

Primary practice address
725 Albany Street, Suite 7B Shapiro Bldg Boston MA 02118
Phone: (617) 638-8456
Fax: (617) 638-8465
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PSY10000160 Massachusetts

Profile Details

NPI number 1295410157
LBN Legal business name Ly, Monica Tam
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 19th, 2023
Last updated Jun 10th, 2024 - about 6 months 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 1295410157 NPPES
Massachusetts MEDICAID 110206585A
Massachusetts MEDICAID 3143472

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