Active NPIIndividual provider

Tyler Destefano

Counselor in Greenfield, Massachusetts

NPI Number1083034474
Practice location
489 Bernardston RD, Greenfield, MA 01301-1238
Fax
—
Last updated
April 24, 2014

Tyler Destefano is a Counselor based in Greenfield, MA. Tyler Destefano practices in Greenfield, MA. The NPI Number for Tyler Destefano is 1083034474. The current practice location address for Tyler Destefano is 489 Bernardston RD, Greenfield, MA 01301-1238 and can be reached out via phone at 413-887-4845.

Provider Profile Details

NPI Number
1083034474
Provider Name
Tyler Destefano
Provider Entity Type
Individual
Gender
Male
Address
489 Bernardston RD, Greenfield, MA 01301-1238
Phone Number
413-887-4845
Primary Taxonomy
Counselor · 101Y00000X
Sole Proprietor
No
Provider Enumeration Date
April 24, 2014
Last Update Date
April 24, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
489 Bernardston RD
Greenfield, MA 01301-1238
Zip
01301-1238
Phone Number
413-887-4845
Greenfield, MA 01301Get directions →

Provider Business Mailing Address Details

Address
489 Bernardston RD
Greenfield, MA 01301-1238
City
Greenfield
State
MA
Zip
01301-1238

License Information

Taxonomy
Counselor · 101Y00000X · 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 Tyler Destefano?

The NPI number of Tyler Destefano is 1083034474. It was assigned on April 24, 2014 and is currently active in the NPPES registry.

What is the specialty of Tyler Destefano?

Tyler Destefano is registered under the primary taxonomy Counselor (code 101Y00000X).

Where does Tyler Destefano practice?

The practice location is 489 Bernardston RD, Greenfield, MA 01301-1238. The office can be reached at 413-887-4845 (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 1083034474 directly on the NPPES registry website.

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