Doctor Name: | MS. REBECCA DIAN ALLEN |
NPI Number: | 1104024322 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 151 Pauline St Winthrop, MA - 021522125 |
Business Phone Number: | 6178465507 |
Business Fax Number: | |
Mailing Address: | 301 Broadway, CHELSEA |
State: | MA |
Postal Code: | 021502807 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 07/10/2007 |
NPI Last Update Date: | 07/10/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041S0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | School |
Taxonomy Definition: |