Provider Demographics
NPI:1932344009
Name:REHBAIN, MISAEL OLIVEIRA
Entity Type:Individual
Prefix:
First Name:MISAEL
Middle Name:OLIVEIRA
Last Name:REHBAIN
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 1:20 HEATHS CT APT 102
Mailing Address - Street 2:
Mailing Address - City:LYNN
Mailing Address - State:MA
Mailing Address - Zip Code:01905-2653
Mailing Address - Country:US
Mailing Address - Phone:781-596-3268
Mailing Address - Fax:617-912-7787
Practice Address - Street 1:265 BEACH ST
Practice Address - Street 2:
Practice Address - City:REVERE
Practice Address - State:MA
Practice Address - Zip Code:02151-3131
Practice Address - Country:US
Practice Address - Phone:617-912-7780
Practice Address - Fax:617-912-7787
Is Sole Proprietor?:Yes
Enumeration Date:2008-12-03
Last Update Date:2008-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health