| Doctor Name: | THOMAS J. TANGUAY |
| NPI Number: | 1154317071 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LICSW |
| License Number: | 100551 |
| Business Practice Address: | 104 Charles Eldridge Rd Lakeville, MA - 023471388 |
| Business Phone Number: | 5088133892 |
| Business Fax Number: | 5089471684 |
| Mailing Address: | 1360 Middleboro Ave, EAST TAUNTON |
| State: | MA |
| Postal Code: | 027181500 |
| Phone Number: | 5088133892 |
| Fax Number: | 5089471684 |
| NPI Enumeration Date: | 09/26/2005 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 100551 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |