Individual
ERIN M. TANGNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 856-2193
(508) 856-5990
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
(800) 225-8885
(508) 334-1977
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
11056
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110153296A
—
MA
Enumeration date
08/30/2017
Last updated
12/08/2020
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