Provider Demographics
NPI:1174249841
Name:CORCORAN-SAYERS, TESSA
Entity type:Individual
Prefix:
First Name:TESSA
Middle Name:
Last Name:CORCORAN-SAYERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 PARK ST
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1206
Mailing Address - Country:US
Mailing Address - Phone:315-446-8624
Mailing Address - Fax:
Practice Address - Street 1:30 PARK ST
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:MA
Practice Address - Zip Code:01062-1206
Practice Address - Country:US
Practice Address - Phone:315-446-8624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-10-14
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical