Provider Demographics
NPI:1013672765
Name:TSEHAYE, GETACHEW
Entity Type:Individual
Prefix:
First Name:GETACHEW
Middle Name:
Last Name:TSEHAYE
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 1:1409 S TRAIL CIR
Mailing Address - Street 2:
Mailing Address - City:FARIBAULT
Mailing Address - State:MN
Mailing Address - Zip Code:55021-7072
Mailing Address - Country:US
Mailing Address - Phone:507-838-2719
Mailing Address - Fax:
Practice Address - Street 1:218 CENTRAL AVE N
Practice Address - Street 2:
Practice Address - City:FARIBAULT
Practice Address - State:MN
Practice Address - Zip Code:55021-5278
Practice Address - Country:US
Practice Address - Phone:507-838-2719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-07
Last Update Date:2021-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst