Active NPIIndividual provider

Krongkan Bovornkeeratiroj

Developmental Therapist in South Hadley, Massachusetts

NPI Number1205667722
Practice location
30 Old Lyman RD, South Hadley, MA 01075-2630
Fax
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Last updated
August 8, 2024

Krongkan Bovornkeeratiroj is a Developmental Therapist based in South Hadley, MA. Krongkan Bovornkeeratiroj practices in South Hadley, MA. The NPI Number for Krongkan Bovornkeeratiroj is 1205667722. The current practice location address for Krongkan Bovornkeeratiroj is 30 Old Lyman RD, South Hadley, MA 01075-2630 and can be reached out via phone at 413-533-7140.

Provider Profile Details

NPI Number
1205667722
Provider Name
Krongkan Bovornkeeratiroj
Provider Entity Type
Individual
Gender
Female
Address
30 Old Lyman RD, South Hadley, MA 01075-2630
Phone Number
413-533-7140
Primary Taxonomy
Developmental Therapist · 222Q00000X
Sole Proprietor
No
Provider Enumeration Date
August 8, 2024
Last Update Date
August 8, 2024
Certification Date
August 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
30 Old Lyman RD
South Hadley, MA 01075-2630
Zip
01075-2630
Phone Number
413-533-7140
South Hadley, MA 01075Get directions →

Provider Business Mailing Address Details

Address
82 Russell St
Hadley, MA 01035-9507
City
Hadley
State
MA
Zip
01035-9507
Phone Number
413-425-3118

License Information

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 Krongkan Bovornkeeratiroj?

The NPI number of Krongkan Bovornkeeratiroj is 1205667722. It was assigned on August 8, 2024 and is currently active in the NPPES registry.

What is the specialty of Krongkan Bovornkeeratiroj?

Krongkan Bovornkeeratiroj is registered under the primary taxonomy Developmental Therapist (code 222Q00000X).

Where does Krongkan Bovornkeeratiroj practice?

The practice location is 30 Old Lyman RD, South Hadley, MA 01075-2630. The office can be reached at 413-533-7140 (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 1205667722 directly on the NPPES registry website.

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