Doctor Name: | DIANA CERUTTI |
NPI Number: | 1346571510 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 39 Union St Easthampton, MA - 010271468 |
Business Phone Number: | 4135291764 |
Business Fax Number: | 4135299047 |
Mailing Address: | 80 Damon Rd, Apt 6303 NORTHAMPTON |
State: | MA |
Postal Code: | 010601864 |
Phone Number: | 4135843623 |
Fax Number: | |
NPI Enumeration Date: | 01/27/2010 |
NPI Last Update Date: | 01/27/2010 |
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: |