Wyatt T Pasco
Peer Specialist in Concord, Massachusetts
1194407528- Practice location
- 76 Gifford Ln, Concord, MA 01742-2235
- Phone
- 617-800-6697
- Fax
- —
- Last updated
- August 4, 2023
Wyatt Tucker Pasco is a Peer Specialist based in Concord, MA. Wyatt Tucker Pasco practices in Concord, MA. The NPI Number for Wyatt Tucker Pasco is 1194407528. The current practice location address for Wyatt Tucker Pasco is 76 Gifford Ln, Concord, MA 01742-2235 and can be reached out via phone at 617-800-6697.
Provider Profile Details
- NPI Number
- 1194407528
- Provider Name
- Wyatt Tucker Pasco
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 76 Gifford Ln, Concord, MA 01742-2235
- Phone Number
- 617-800-6697
- Primary Taxonomy
- Peer Specialist · 175T00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 4, 2023
- Last Update Date
- August 4, 2023
- Certification Date
- August 4, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 76 Gifford Ln
Concord, MA 01742-2235 - City
- Concord
- State
- Massachusetts
- Zip
- 01742-2235
- Phone Number
- 617-800-6697
Provider Business Mailing Address Details
- Address
- 76 Gifford Ln
Concord, MA 01742-2235 - City
- Concord
- State
- MA
- Zip
- 01742-2235
- Phone Number
- 617-800-6697
License Information
- License State
- OR
- Taxonomy
- Peer Specialist · 175T00000X · Primary
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 Wyatt T Pasco?
The NPI number of Wyatt T Pasco is 1194407528. It was assigned on August 4, 2023 and is currently active in the NPPES registry.
What is the specialty of Wyatt T Pasco?
Wyatt T Pasco is registered under the primary taxonomy Peer Specialist (code 175T00000X).
Where does Wyatt T Pasco practice?
The practice location is 76 Gifford Ln, Concord, MA 01742-2235. The office can be reached at 617-800-6697 (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 1194407528 directly on the NPPES registry website.