Alice Da Cruz

Individual provider Active NPI Counselor · Sturbridge, MA

NPI 1427606342 · NPPES record last updated Sep 4, 2019

Key facts

NPI
1427606342
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
Practice address
1 Picker Rd
Sturbridge, MA 01566-1252
Phone
(508) 879-9800
NPI assigned
Sep 4, 2019
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X Yes

Addresses

Primary practice location

1 Picker Rd
Sturbridge, MA 01566-1252

Mailing address

1 Picker Rd
Sturbridge, MA 01566-1252

Other providers in Sturbridge, MA

All providers in Sturbridge, MA · Counselor in Massachusetts

Sources for this page

Verify at the official NPI Registry.