Provider Demographics
NPI:1356694640
Name:VINCENT, TAMA J (MA)
Entity type:Individual
Prefix:MS
First Name:TAMA
Middle Name:J
Last Name:VINCENT
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
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Mailing Address - Street 1:275 MARTINE ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02723-1516
Mailing Address - Country:US
Mailing Address - Phone:774-365-4860
Mailing Address - Fax:774-365-4837
Practice Address - Street 1:349 BROADWAY
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-1715
Practice Address - Country:US
Practice Address - Phone:617-661-3991
Practice Address - Fax:617-661-7277
Is Sole Proprietor?:No
Enumeration Date:2012-10-24
Last Update Date:2014-09-24
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health