NPI 1215296439

Tyeshia Monique Ravenel

Practitioner Student in an Organized Health Care Education/Training Program Hyde Park, MA

Practice location

Address: 695 Truman Hwy, Hyde Park, MA 02136-3552
Phone: (888) 763-7272
Fax: (877) 243-2959
Mailing address: 50 Parker St, Newton Center, MA 02459-2547

Registered specialties (2)

Student in an Organized Health Care Education/Training Program Primary

Student, Health Care Taxonomy 390200000X

Other Student in an Organized Health Care Education/Training Program providers in Massachusetts →

Counselor

Behavioral Health & Social Service Providers Taxonomy 101Y00000X

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Registry record

NPI: 1215296439
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 May 2012
Record last updated: 2 Jul 2024

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.