Smith, Theresa Monahan

Smith, Theresa Monahan is an sole proprietor health care provider with primary practice located at 177 Carroll Ave , Brockton MA 02301-6315. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Psychiatric/Mental Health, Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health. Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health is her primary health care specialty. Smith, Theresa Monahan can be contacted via phone (508) 510-5133.

Contact Information

Primary practice address
177 Carroll Ave Brockton MA 02301-6315
Phone: (508) 510-5133
Fax: (508) 583-9800
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 115563 Massachusetts
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X RN115563 Massachusetts

Profile Details

NPI number 1356672604
LBN Legal business name Smith, Theresa Monahan
Credentials RN, CNP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2010
Last updated Aug 17th, 2016 - about 8 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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Identifiers

StateTypeNumberIssuer
All States NPI 1356672604 NPPES
Massachusetts Other 11002802513 MASS HEALTH

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