Provider Demographics
NPI:1508411992
Name:TOUZIN, PATRICIA A (LICSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:A
Last Name:TOUZIN
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1084 TRAPELO RD
Mailing Address - Street 2:
Mailing Address - City:WALTHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02451-3235
Mailing Address - Country:US
Mailing Address - Phone:781-647-5414
Mailing Address - Fax:
Practice Address - Street 1:140 COMMONWEALTH AVENUE
Practice Address - Street 2:O'NEILL LIBRARY, ROOM 132
Practice Address - City:CHESTNUT HILL
Practice Address - State:MA
Practice Address - Zip Code:02467
Practice Address - Country:US
Practice Address - Phone:617-552-3340
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-02
Last Update Date:2019-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1054461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical