NPI 1114064656
Phalnarith Ba, OUTREACHWORKER
Practice location
- Address
- 265 Beach St, Revere, MA 02151-3131
- Phone
- (617) 912-7732
- Fax
- (781) 286-5636
Registered specialties (2)
Interpreter
Primary
Mental Health Counselor
Registry record
- NPI
- 1114064656
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 1 Feb 2007
- Record last updated
- 11 Sep 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.