De Lima, Daniel

De Lima, Daniel is an individual health care provider with primary practice located at 19 Tacoma St , Worcester MA 01605-3516. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. De Lima, Daniel can be contacted via phone (508) 852-1805.

Contact Information

Primary practice address
19 Tacoma St Worcester MA 01605-3516
Fax: (508) 853-8593
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1043428618
LBN Legal business name De Lima, Daniel
Credentials PSYCHOTHERAPIST
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2007
Last updated Jul 9th, 2007 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043428618 NPPES
Massachusetts MEDICAID 1301071

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