Provider Demographics
NPI:1932641545
Name:ARYAL, BHUMI NANDA
Entity Type:Individual
Prefix:
First Name:BHUMI
Middle Name:NANDA
Last Name:ARYAL
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 HILL RD
Mailing Address - Street 2:APT 309
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-4342
Mailing Address - Country:US
Mailing Address - Phone:617-442-0048
Mailing Address - Fax:
Practice Address - Street 1:170 MORTON ST
Practice Address - Street 2:11 SOUTH
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-3735
Practice Address - Country:US
Practice Address - Phone:617-442-0048
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-14
Last Update Date:2016-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical