Provider Demographics
NPI:1801386990
Name:ZARETSKAYA, NATASHA IGOREVNA
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:IGOREVNA
Last Name:ZARETSKAYA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:28 ALDIE ST
Mailing Address - Street 2:
Mailing Address - City:ALLSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02134-1323
Mailing Address - Country:US
Mailing Address - Phone:617-999-6793
Mailing Address - Fax:
Practice Address - Street 1:28 ALDIE ST
Practice Address - Street 2:
Practice Address - City:ALLSTON
Practice Address - State:MA
Practice Address - Zip Code:02134-1323
Practice Address - Country:US
Practice Address - Phone:617-999-6793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-14
Last Update Date:2018-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Single Specialty