Provider Demographics
NPI:1659713717
Name:AURLAND, TANA (MED)
Entity Type:Individual
Prefix:MS
First Name:TANA
Middle Name:
Last Name:AURLAND
Suffix:
Gender:F
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 873
Mailing Address - Street 2:
Mailing Address - City:EASTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01027-0873
Mailing Address - Country:US
Mailing Address - Phone:413-584-5878
Mailing Address - Fax:
Practice Address - Street 1:15 HAWLEY ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3348
Practice Address - Country:US
Practice Address - Phone:413-584-5878
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-17
Last Update Date:2013-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health