Doctor Name: | MS. MARY MARGARET DUMAS |
NPI Number: | 1245334366 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 108 |
Business Practice Address: | 477 Route 6a Suite 9 Yarmouth Port, MA - 026751900 |
Business Phone Number: | 5082802421 |
Business Fax Number: | |
Mailing Address: | 79 Washington Avenue, WEST YARMOUTH |
State: | MA |
Postal Code: | 02673 |
Phone Number: | 5087908250 |
Fax Number: | 5087900334 |
NPI Enumeration Date: | 09/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 108 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |