Most Relevant Information
Provider Data
| NPI Number: | 1003358433 |
| Provider Name: | KATY TARELLA LICSW |
| Entity Type: | Individual |
| Taxonomy Code: | 1041C0700X |
| Specialty: | Social Worker |
| License Number: | 119934 |
Most Important Dates
| Enumeration Date: | 11/16/2016 |
| Last Updated: | 11/16/2016 |
Provider Practice Location
115 MILL ST
MAILSTOP 137
BELMONT
MA
024781064
Practice Location Phone/Fax
| Phone: | 6178554178 |
| Fax: |
Provider Mailing Location
115 MILL ST
MAILSTOP 137
BELMONT
MA
024781064
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |