Roberta Agostinho
Individual provider Active NPI Counselor · Lowell, MA
NPI 1922493485 · NPPES record last updated Apr 1, 2015
Key facts
- NPI
- 1922493485
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Counselor 101Y00000X
- Practice address
- 73 E Merrimack St
Lowell, MA 01852-1206 - Phone
- (978) 221-6923
- NPI assigned
- Apr 1, 2015
- Sex
- Female
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | Yes |
Addresses
Primary practice location
73 E Merrimack St
Lowell, MA 01852-1206
Mailing address
73 E Merrimack St
Lowell, MA 01852-1206
Phone (978) 221-6923
Other providers in Lowell, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.