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NPI Code Detail

MEDICARE: YUQIAN TIAN MA

MEDICARE: YUQIAN TIAN MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1548678766
Entity Type Code : Individual
Provider Name (Legal Business Name) : YUQIAN TIAN MA
Provider Business Mailing Address
First Line : 1309 BEACON ST STE 300
Second Line :
City : BROOKLINE
State : MA
Zip : 02446-5252
Country : US
Telephone Number : 617-286-2526
Fax Number : 888-892-3929
Provider Business Practice Location Address
First Line : 1309 BEACON ST STE 300
Second Line :
City : BROOKLINE
State : MA
Zip : 02446-5252
Country : US
Telephone Number : 617-286-2526
Fax Number : 888-892-3929
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/31/2014
Last Update Date : 04/18/2024

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Directions to “ YUQIAN TIAN MA” Practice Location

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