NPI Profile for TATJANA GOROHOVSKY in BEDFORD, MA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Developmental Therapist |
222Q00000X |
| NPI # | 1710431606 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 08/08/2016 | |
| Last updated | 10/21/2019 - About 7 years ago | |
| Sole proprietor 1 | No | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TATJANA GOROHOVSKY
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