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Individual

OSCAR DE TUYA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
68 TAFTS AVE, WINTHROP, MA 02152-1445
(857) 991-6063
Mailing address
68 TAFTS AVE, WINTHROP, MA 02152-1445
(857) 991-6063

Taxonomy

Speciality
Code
Description
License number
State
103TS0200X
School Psychologist
1260073
FL
103TS0200X
School Psychologist
Primary
53974349
MA
103TS0200X
School Psychologist
C072015000689
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
53974349
MA EDUCATOR LICENSE
MA
Enumeration date
09/05/2017
Last updated
07/21/2022
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