Provider Demographics
NPI:1013294479
Name:TONN CAO AND ASSOCIATES
Entity Type:Organization
Organization Name:TONN CAO AND ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TONN
Authorized Official - Middle Name:QOUC
Authorized Official - Last Name:CAO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:617-697-9392
Mailing Address - Street 1:14 FAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02116-5549
Mailing Address - Country:US
Mailing Address - Phone:617-697-9392
Mailing Address - Fax:
Practice Address - Street 1:1359 HANCOCK ST
Practice Address - Street 2:SUITE 1
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-5108
Practice Address - Country:US
Practice Address - Phone:617-697-9392
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-11-12
Last Update Date:2011-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1158731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty