Provider Demographics
NPI:1417757402
Name:TAO, YUANQI
Entity type:Individual
Prefix:
First Name:YUANQI
Middle Name:
Last Name:TAO
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 BOSTON POST RD W STE 420
Mailing Address - Street 2:
Mailing Address - City:MARLBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752-1867
Mailing Address - Country:US
Mailing Address - Phone:508-824-3673
Mailing Address - Fax:
Practice Address - Street 1:33 BOSTON POST RD W STE 420
Practice Address - Street 2:
Practice Address - City:MARLBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01752-1867
Practice Address - Country:US
Practice Address - Phone:508-824-3673
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health