Doctor Name: | CORINNE MYERS GOLSHIRAZIAN |
NPI Number: | 1518352459 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 105441 |
Business Practice Address: | 281 E Hartford Ave Tri-river Family Health Center Uxbridge, MA - 015691278 |
Business Phone Number: | 5082788318 |
Business Fax Number: | |
Mailing Address: | Po Box 415348, BOSTON |
State: | MA |
Postal Code: | 022415348 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/30/2015 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 105441 |
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 |