Doctor Name: | DIANA ESTRADA |
NPI Number: | 1285993469 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 000000000000000 |
Business Practice Address: | 145 Faunce Corner Rd North Dartmouth, MA - 027471263 |
Business Phone Number: | 7742061125 |
Business Fax Number: | |
Mailing Address: | 145 Faunce Corner Rd, NORTH DARTMOUTH |
State: | MA |
Postal Code: | 027471263 |
Phone Number: | 7742061125 |
Fax Number: | |
NPI Enumeration Date: | 05/09/2012 |
NPI Last Update Date: | 05/09/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 000000000000000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |