Active NPIIndividual providerSole proprietor

Tara R Mccrady, BS

Developmental Therapist in Lowell, Massachusetts

NPI Number1053573873
Practice location
126 Phoenix Ave, Bldg. #2, Lowell, MA 01852
Fax
—
Last updated
July 29, 2011

Tara Rose Mccrady is a Developmental Therapist based in Lowell, MA. Tara Rose Mccrady practices in Lowell, MA and has the professional credentials of BS. The NPI Number for Tara Rose Mccrady is 1053573873 and holds a License No. 85689 (NH). The current practice location address for Tara Rose Mccrady is 126 Phoenix Ave, Bldg. #2, Lowell, MA 01852 and can be reached out via phone at 978-453-8331.

Provider Profile Details

NPI Number
1053573873
Provider Name
Tara Rose Mccrady
Credential
BS
Provider Entity Type
Individual
Gender
Female
Address
126 Phoenix Ave, Bldg. #2, Lowell, MA 01852
Phone Number
978-453-8331
Primary Taxonomy
Developmental Therapist · 222Q00000X
Sole Proprietor
Yes
Provider Enumeration Date
July 2, 2008
Last Update Date
July 29, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
126 Phoenix Ave
Bldg. #2
Lowell, MA 01852
City
Lowell
Zip
01852
Phone Number
978-453-8331
Lowell, MA 01852Get directions →

Provider Business Mailing Address Details

Address
126 Phoenix Ave
Bldg. #2
Lowell, MA 01852
City
Lowell
State
MA
Zip
01852
Phone Number
978-453-8331

License Information

License Number
85689
License State
NH
Taxonomy
Developmental Therapist · 222Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Tara R Mccrady, BS?

The NPI number of Tara R Mccrady, BS is 1053573873. It was assigned on July 2, 2008 and is currently active in the NPPES registry.

What is the specialty of Tara R Mccrady, BS?

Tara R Mccrady, BS is registered under the primary taxonomy Developmental Therapist (code 222Q00000X), licensed in NH under license number 85689.

Where does Tara R Mccrady, BS practice?

The practice location is 126 Phoenix Ave, Bldg. #2, Lowell, MA 01852. The office can be reached at 978-453-8331 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1053573873 directly on the NPPES registry website.

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