Doctor Name: | IVETTE ALVAREZ |
NPI Number: | 1073795522 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 2112 Riverdale Street West Springfield, MA - 01089 |
Business Phone Number: | 4138274378 |
Business Fax Number: | |
Mailing Address: | 88 Mildred Avenue, SPRINGFIELD |
State: | MA |
Postal Code: | 01104 |
Phone Number: | 4137373009 |
Fax Number: | |
NPI Enumeration Date: | 11/27/2007 |
NPI Last Update Date: | 11/27/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |