Individual
TAULANT MALO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19 TACOMA ST, WORCESTER, MA 01605-3516
(508) 852-1805
Mailing address
605 LINCOLN ST, WORCESTER, MA 01605-1901
(508) 595-0750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
PSY10001200
MA
Other
Enumeration date
08/23/2021
Last updated
07/16/2025
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