Provider Demographics
NPI:1760213383
Name:NEUPANE, EBIGYA
Entity type:Individual
Prefix:
First Name:EBIGYA
Middle Name:
Last Name:NEUPANE
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 1:178 ALBION ST STE 420
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-3257
Mailing Address - Country:US
Mailing Address - Phone:617-580-2704
Mailing Address - Fax:
Practice Address - Street 1:178 ALBION ST STE 420
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-3257
Practice Address - Country:US
Practice Address - Phone:617-580-2704
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-13
Last Update Date:2024-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA228760104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker