Healthcare Provider Details

I. General information

NPI: 1760900112
Provider Name (Legal Business Name): BRITTANY PATRICIA O'HARE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/06/2017
Last Update Date: 04/24/2023
Certification Date: 04/24/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 OSBORN ST
FALL RIVER MA
02724-2814
US

IV. Provider business mailing address

160 OSBORN ST
FALL RIVER MA
02724-2814
US

V. Phone/Fax

Practice location:
  • Phone: 508-991-0218
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
IdentifierS43721367
Identifier TypeOTHER
Identifier StateMA
Identifier IssuerDRIVERS LICENSE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: