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NPI Code Detail

MEDICARE: TAMMY N VO

MEDICARE: TAMMY N VO
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
11041C0700XClinical Social WorkerMA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11215295597OTHERMAABELARD PSYCHOTHERAPY INC

General Provider Information

NPI Number : 1922686625
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMMY N VO
Provider Business Mailing Address
First Line : 450 PEARL ST STE 3
Second Line :
City : STOUGHTON
State : MA
Zip : 02072-1617
Country : US
Telephone Number : 781-344-0057
Fax Number : 781-344-0027
Provider Business Practice Location Address
First Line : 450 PEARL ST STE 3
Second Line :
City : STOUGHTON
State : MA
Zip : 02072-1617
Country : US
Telephone Number : 781-344-0057
Fax Number : 781-344-0027
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2021
Last Update Date : 04/01/2021

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Directions to “ TAMMY N VO ” Practice Location

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