Mckibben, Tanisha

Mckibben, Tanisha is an individual health care provider with primary practice located at 301 Broadway , Chelsea MA 02150-2807. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Mckibben, Tanisha can be contacted via phone (617) 912-7913.

Contact Information

Primary practice address
301 Broadway Chelsea MA 02150-2807
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1497894265
LBN Legal business name Mckibben, Tanisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2007
Last updated Jul 8th, 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.

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