Dr. Reva S Tankle, PHD
Clinical Neuropsychologist in Newton, Massachusetts
1609201672- Practice location
- 55 Chapel St Ste 2, Newton, MA 02458-1060
- Phone
- 617-658-9821
- Fax
- —
- Last updated
- September 10, 2013
Reva S. Tankle is a Clinical Neuropsychologist based in Newton, MA. Reva S. Tankle practices in Newton, MA and has the professional credentials of PHD. The NPI Number for Reva S. Tankle is 1609201672 and holds a License No. 3598 (MA). The current practice location address for Reva S. Tankle is 55 Chapel St Ste 2, Newton, MA 02458-1060 and can be reached out via phone at 617-658-9821.
Provider Profile Details
- NPI Number
- 1609201672
- Provider Name
- Reva S. Tankle
- Credential
- PHD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 55 Chapel St Ste 2, Newton, MA 02458-1060
- Phone Number
- 617-658-9821
- Primary Taxonomy
- Clinical Neuropsychologist · 103G00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 10, 2013
- Last Update Date
- September 10, 2013
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 55 Chapel St Ste 2
Newton, MA 02458-1060 - City
- Newton
- State
- Massachusetts
- Zip
- 02458-1060
- Phone Number
- 617-658-9821
Provider Business Mailing Address Details
- Address
- 55 Chapel St Ste 2
Newton, MA 02458-1060 - City
- Newton
- State
- MA
- Zip
- 02458-1060
- Phone Number
- 617-658-9821
License Information
- License Number
- 3598
- License State
- MA
- Taxonomy
- Clinical Neuropsychologist · 103G00000X · 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 Dr. Reva S Tankle, PHD?
The NPI number of Dr. Reva S Tankle, PHD is 1609201672. It was assigned on September 10, 2013 and is currently active in the NPPES registry.
What is the specialty of Dr. Reva S Tankle, PHD?
Dr. Reva S Tankle, PHD is registered under the primary taxonomy Clinical Neuropsychologist (code 103G00000X), licensed in MA under license number 3598.
Where does Dr. Reva S Tankle, PHD practice?
The practice location is 55 Chapel St Ste 2, Newton, MA 02458-1060. The office can be reached at 617-658-9821 (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 1609201672 directly on the NPPES registry website.