Provider Demographics
NPI:1154947000
Name:NEVES, TAMMY (MA)
Entity type:Individual
Prefix:
First Name:TAMMY
Middle Name:
Last Name:NEVES
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 S MAIN ST # 2
Mailing Address - Street 2:
Mailing Address - City:ACUSHNET
Mailing Address - State:MA
Mailing Address - Zip Code:02743-2722
Mailing Address - Country:US
Mailing Address - Phone:774-770-8741
Mailing Address - Fax:
Practice Address - Street 1:143 S MAIN ST # 2
Practice Address - Street 2:
Practice Address - City:ACUSHNET
Practice Address - State:MA
Practice Address - Zip Code:02743-2722
Practice Address - Country:US
Practice Address - Phone:774-770-8741
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-17
Last Update Date:2020-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health