Healthcare Provider Details

I. General information

NPI: 1992328231
Provider Name (Legal Business Name): DAPNEY TOUSSAINT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/21/2020
Last Update Date: 05/21/2020
Certification Date: 05/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 DUDLEY ST
ROXBURY MA
02119-2769
US

IV. Provider business mailing address

520 DUDLEY ST
ROXBURY MA
02119-2769
US

V. Phone/Fax

Practice location:
  • Phone: 617-989-9499
  • Fax:
Mailing address:
  • Phone: 617-989-9499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: