NPI 1104117506 MRS. DIANE MARIE MCAVOY L.I.C.S.W. DEDHAM MA. Find Phone Number, Address, Contact details of medical healthcare providers | NPI Number Lookup

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Mrs. Diane Marie Mcavoy - NPI: 1104117506

National Provider Identifier (NPI) is a 10-digit identification number which is issued to health care providers by the Centers for Medicare and Medicaid Services (CMS) in the United States(US). The NPI is introduced to replace of UPIN (unique provider identification number) and now NPI is the only required identifier for Medicare services, and NPI is also used by commercial healthcare insurers and by other payers.

Doctor Name: MRS. DIANE MARIE MCAVOY
NPI Number: 1104117506
Entity Type Code: Individual (1)
Gender: F
Credentials: L.I.C.S.W.
License Number: 114780
Business Practice Address: 395 Washington St
Suite #8 Dedham, MA - 020264456
Business Phone Number: 7813264110
Business Fax Number: 5082035163
Mailing Address: 395 Washington St, Suite #8
DEDHAM
State: MA
Postal Code: 020264456
Phone Number: 7813264110
Fax Number: 5082035163
NPI Enumeration Date: 04/20/2011
NPI Last Update Date: 08/18/2011
Replacement NPI: 0
NPI Deactivation Date:
NPI Reactivation Date:

Taxonomy Information:

Healthcare Provider Taxonomy: 101YM0800X
License Number: 114780
Healthcare Provider Taxonomy:
(Secondary)
Y
State: MA
Taxonomy Type: Behavioral Health & Social Service Providers
Taxonomy Classification: Counselor
Taxonomy Specialization: Mental Health
Taxonomy Definition:


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