Doctor Name: | TESSA HAYES |
NPI Number: | 1730315284 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 114622 |
Business Practice Address: | 148 Worcester St West Boylston, MA - 015831751 |
Business Phone Number: | 5088351735 |
Business Fax Number: | 5088351736 |
Mailing Address: | 148 Worcester St, WEST BOYLSTON |
State: | MA |
Postal Code: | 015831751 |
Phone Number: | 5088351735 |
Fax Number: | 5088351736 |
NPI Enumeration Date: | 06/10/2009 |
NPI Last Update Date: | 06/10/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 114622 |
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 |