Doctor Name: | DAVID COSTA |
NPI Number: | 1013979392 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC LMFT LCSW |
License Number: | 103 |
Business Practice Address: | 106 Spring St Ste 109 New Bedford, MA - 02740 |
Business Phone Number: | 5086780041 |
Business Fax Number: | 5083249002 |
Mailing Address: | 106 Spring St, Ste 109 NEW BEDFORD |
State: | MA |
Postal Code: | 02747 |
Phone Number: | 5089961280 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 103 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |