Doctor Name: | MRS. DIANE MARIE DUNSTER |
NPI Number: | 1700124278 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 213332 |
Business Practice Address: | 75 Main St South Grafton, MA - 015601129 |
Business Phone Number: | 5088399684 |
Business Fax Number: | |
Mailing Address: | 81 Plantation St, WORCESTER |
State: | MA |
Postal Code: | 016043069 |
Phone Number: | 5088399684 |
Fax Number: | |
NPI Enumeration Date: | 01/17/2013 |
NPI Last Update Date: | 01/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 213332 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |