Mr. Gary J Breault
Counselor, Professional in Worcester, Massachusetts
1104071315- Practice location
- 25 Catharine St, Worcester, MA 01605-2709
- Phone
- 508-754-3006
- Fax
- 508-754-2971
- Last updated
- December 2, 2008
Gary J Breault is a Counselor, Professional based in Worcester, MA. Gary J Breault practices in Worcester, MA. The NPI Number for Gary J Breault is 1104071315 and holds a License No. 6675 (MA). The current practice location address for Gary J Breault is 25 Catharine St, Worcester, MA 01605-2709 and can be reached out via phone at 508-754-3006 and via fax at 508-754-2971.
Provider Profile Details
- NPI Number
- 1104071315
- Provider Name
- Gary J Breault
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 25 Catharine St, Worcester, MA 01605-2709
- Phone Number
- 508-754-3006
- Fax Number
- 508-754-2971
- Primary Taxonomy
- Counselor, Professional · 101YP2500X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- December 2, 2008
- Last Update Date
- December 2, 2008
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 25 Catharine St
Worcester, MA 01605-2709 - City
- Worcester
- State
- Massachusetts
- Zip
- 01605-2709
- Phone Number
- 508-754-3006
- Fax Number
- 508-754-2971
Provider Business Mailing Address Details
- Address
- 25 Catharine St
Worcester, MA 01605-2709 - City
- Worcester
- State
- MA
- Zip
- 01605-2709
- Phone Number
- 508-754-3006
- Fax Number
- 508-754-2971
License Information
- License Number (1)
- 6675
- License State (1)
- MA
- Taxonomy (1)
- Counselor, Professional · 101YP2500X · Primary
- License Number (2)
- 321767
- License State (2)
- MA
- Taxonomy (2)
- Counselor, School · 101YS0200X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Mr. Gary J Breault?
The NPI number of Mr. Gary J Breault is 1104071315. It was assigned on December 2, 2008 and is currently active in the NPPES registry.
What is the specialty of Mr. Gary J Breault?
Mr. Gary J Breault is registered under the primary taxonomy Counselor, Professional (code 101YP2500X), licensed in MA under license number 6675.
Where does Mr. Gary J Breault practice?
The practice location is 25 Catharine St, Worcester, MA 01605-2709. The office can be reached at 508-754-3006 (phone) or 508-754-2971 (fax).
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 1104071315 directly on the NPPES registry website.