Individual
SSALI S BABUMBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
237 STATE RD, NORTH DARTMOUTH, MA 02747-2612
(508) 979-5557
(508) 979-5955
Mailing address
11 COW POND BROOK RD, GROTON, MA 01450-1577
(508) 562-2343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LN87592
MA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN2299909
MA
Other
Enumeration date
02/19/2013
Last updated
04/23/2026
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