Active NPIIndividual provider

Tarshe Derival, MA

Counselor, Mental Health in Dorchester, Massachusetts

NPI Number1639493059
Practice location
2216 Dorchester Ave, Dorchester, MA 02124-5607
Fax
—
Last updated
August 13, 2014

Tarshe Derival is a Counselor, Mental Health based in Dorchester, MA. Tarshe Derival practices in Dorchester, MA and has the professional credentials of MA. The NPI Number for Tarshe Derival is 1639493059. The current practice location address for Tarshe Derival is 2216 Dorchester Ave, Dorchester, MA 02124-5607 and can be reached out via phone at 617-322-3380.

Provider Profile Details

NPI Number
1639493059
Provider Name
Tarshe Derival
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
2216 Dorchester Ave, Dorchester, MA 02124-5607
Phone Number
617-322-3380
Primary Taxonomy
Counselor, Mental Health · 101YM0800X
Sole Proprietor
No
Provider Enumeration Date
March 15, 2010
Last Update Date
August 13, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
2216 Dorchester Ave
Dorchester, MA 02124-5607
Zip
02124-5607
Phone Number
617-322-3380
Dorchester, MA 02124Get directions →

Provider Business Mailing Address Details

Address
2216 Dorchester Ave
Dorchester, MA 02124-5607
City
Dorchester
State
MA
Zip
02124-5607
Phone Number
857-445-2034

License Information

Taxonomy
Counselor, Mental Health · 101YM0800X · 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 Tarshe Derival, MA?

The NPI number of Tarshe Derival, MA is 1639493059. It was assigned on March 15, 2010 and is currently active in the NPPES registry.

What is the specialty of Tarshe Derival, MA?

Tarshe Derival, MA is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X).

Where does Tarshe Derival, MA practice?

The practice location is 2216 Dorchester Ave, Dorchester, MA 02124-5607. The office can be reached at 617-322-3380 (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 1639493059 directly on the NPPES registry website.

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