Alfredo Ismael Tejada, is a
Counselor - Mental Health based in Lawrence, Massachusetts. Alfredo Ismael Tejada is licensed to practice in Massachusetts (license number ) and his current practice location is
23 Berkeley St Apt 3, Lawrence, Massachusetts. He can be reached at his office (for appointments etc.) via phone at
(978) 908-8818.
NPI number for Alfredo Ismael Tejada is 1578121596 and his current mailing address is 15 Union St Ste 200, Lawrence, Massachusetts. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1578121596.
Healthcare Provider's Profile
Full Name | Alfredo Ismael Tejada |
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Gender | Male |
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Speciality | Counselor - Mental Health |
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Location | 23 Berkeley St Apt 3, Lawrence, Massachusetts |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578121596
- Provider Enumeration Date: 06/04/2019
- Last Update Date: 06/04/2019
Medical Identifiers
Medical identifiers for Alfredo Ismael Tejada such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578121596 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
103T00000X | Psychologist | (Massachusetts) | Secondary |
101YM0800X | Counselor - Mental Health | (Massachusetts) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alfredo Ismael Tejada is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Alfredo Ismael Tejada, 15 Union St Ste 200, Lawrence, MA 01840-1823 Ph: () - | Alfredo Ismael Tejada, 23 Berkeley St Apt 3, Lawrence, MA 01841-1908 Ph: (978) 908-8818 |
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