Rivera, Tia M

Rivera, Tia M is an sole proprietor health care provider with primary practice located at 895 Blue Hill Ave , Dorchester MA 02124-2902. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Rivera, Tia M can be contacted via phone (617) 822-7129.

Contact Information

Primary practice address
895 Blue Hill Ave Dorchester MA 02124-2902
Phone: (617) 822-7129
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X

Profile Details

NPI number 1760095392
LBN Legal business name Rivera, Tia M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 24th, 2020
Last updated Aug 24th, 2020 - about 4 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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