Provider Demographics
NPI:1558084418
Name:DE ABREU PANZARELLA, KARINA HARUMI
Entity Type:Individual
Prefix:
First Name:KARINA HARUMI
Middle Name:
Last Name:DE ABREU PANZARELLA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 WRIGHT ST
Mailing Address - Street 2:
Mailing Address - City:WOBURN
Mailing Address - State:MA
Mailing Address - Zip Code:01801-2810
Mailing Address - Country:US
Mailing Address - Phone:617-659-0240
Mailing Address - Fax:
Practice Address - Street 1:9 WRIGHT ST
Practice Address - Street 2:
Practice Address - City:WOBURN
Practice Address - State:MA
Practice Address - Zip Code:01801-2810
Practice Address - Country:US
Practice Address - Phone:617-659-0240
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-26
Last Update Date:2022-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician