| Doctor Name: | DR. SANDRA DIAZ |
| NPI Number: | 1437287166 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 9068 |
| Business Practice Address: | 90 New State Hwy, Rte 44 Dcs Mental Health, Inc. Raynham, MA - 02767 |
| Business Phone Number: | 5088806868 |
| Business Fax Number: | |
| Mailing Address: | 90 New State Hwy, Rte 44, Dcs Mental Health, Inc. RAYNHAM |
| State: | MA |
| Postal Code: | 02767 |
| Phone Number: | 5088806868 |
| Fax Number: | |
| NPI Enumeration Date: | 03/02/2007 |
| NPI Last Update Date: | 06/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 9068 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |