Basic Information
Provider Information
NPI: 1720418700
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: RABBIA
FirstName: MARIA
MiddleName:  
NamePrefix: MISS
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8 LINDEN ST
Address2:  
City: HOPKINTON
State: MA
PostalCode: 017481917
CountryCode: US
TelephoneNumber: 5086128565
FaxNumber: 5084359486
Practice Location
Address1: 340 MAIN ST
Address2:  
City: WORCESTER
State: MA
PostalCode: 016081604
CountryCode: US
TelephoneNumber: 5087914976
FaxNumber:  
Other Information
ProviderEnumerationDate: 11/12/2013
LastUpdateDate: 11/12/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800X  Y Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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