Provider Demographics
NPI:1750416095
Name:TAPPER, TERESA DENISE (MED, CAGS, LMHC)
Entity type:Individual
Prefix:
First Name:TERESA
Middle Name:DENISE
Last Name:TAPPER
Suffix:
Gender:F
Credentials:MED, CAGS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 ROSE GLEN ST
Mailing Address - Street 2:
Mailing Address - City:STOUGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02072-2449
Mailing Address - Country:US
Mailing Address - Phone:671-460-4708
Mailing Address - Fax:
Practice Address - Street 1:26 ROSE GLEN ST
Practice Address - Street 2:
Practice Address - City:STOUGHTON
Practice Address - State:MA
Practice Address - Zip Code:02072-2449
Practice Address - Country:US
Practice Address - Phone:671-460-4708
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-23
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health