Ricardo Avila

Individual provider Active NPI Art Therapist · Holyoke, MA

NPI 1750877973 · NPPES record last updated Jul 11, 2018

Key facts

NPI
1750877973
Entity type
Individual (NPI type 1)
Primary specialty
Art Therapist 221700000X
Practice address
319 Beech St
Holyoke, MA 01040-3968
Phone
(413) 540-1160
NPI assigned
Jul 11, 2018
Sex
Male
Sole proprietor
Yes

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
Art Therapist 221700000X Yes

Addresses

Primary practice location

319 Beech St
Holyoke, MA 01040-3968

Mailing address

170 E Hadley Rd Apt 42
Amherst, MA 01002-3197

Other providers in Holyoke, MA

All providers in Holyoke, MA · Art Therapist in Massachusetts

Sources for this page

Verify at the official NPI Registry.