Porter, Thomas Friedl

Porter, Thomas Friedl is an individual health care provider with primary practice located at 29 Pine Street , Southbridge MA 01550. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Porter, Thomas Friedl can be contacted via phone (508) 765-9167.

Contact Information

Primary practice address
29 Pine Street Southbridge MA 01550
Phone: (508) 765-9167
Fax: (508) 764-2462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 102096 Massachusetts
Behavioral Health & Social Service Providers / Clinical 1041C0700X 102096 Massachusetts

Profile Details

NPI number 1770564551
LBN Legal business name Porter, Thomas Friedl
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 9th, 2005
Last updated Jun 15th, 2011 - about 13 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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