Pryjma, Tai

Pryjma, Tai is an individual health care provider with primary practice located at 43 Garrison Rd , Brookline MA 02445-4445. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Pryjma, Tai can be contacted via phone (617) 277-8107.

Contact Information

Primary practice address
43 Garrison Rd Brookline MA 02445-4445
Phone: (617) 277-8107
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 113194 Massachusetts

Profile Details

NPI number 1700859410
LBN Legal business name Pryjma, Tai
Credentials LICSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2006
Last updated Oct 7th, 2023 - about last year

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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1700859410 NPPES
Massachusetts Other P10297 BLUE CROSS/BLUE SHIELD
Massachusetts Other 2196394 BLUE CROSS/BLUE SHIELD

Popular Providers