Disla, Alphonsina

Disla, Alphonsina is an sole proprietor health care provider with primary practice located at 12 Hobson St , Lawrence MA 01841-4940. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Behavioral Analyst is her primary health care specialty. Disla, Alphonsina can be contacted via phone (978) 902-7443.

Contact Information

Primary practice address
12 Hobson St Lawrence MA 01841-4940
Phone: (978) 902-7443
Fax: (978) 902-7443
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Massachusetts
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Psychologist 103T00000X Massachusetts
Behavioral Health & Social Service Providers / Counselor 101Y00000X Massachusetts
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Massachusetts

Profile Details

NPI number 1235666165
LBN Legal business name Disla, Alphonsina
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 23rd, 2017
Last updated May 23rd, 2017 - about 9 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 1235666165 NPPES
Massachusetts MEDICAID 100026310019

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