Medina, Idaliana

Medina, Idaliana is an individual health care provider with primary practice located at 11 Sycamore St , Worcester MA 01608-2213. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. Medina, Idaliana can be contacted via phone (508) 798-1900.

Contact Information

Primary practice address
11 Sycamore St Worcester MA 01608-2213
Fax:
Website:

Health care specialties

Profile Details

NPI number 1467068866
LBN Legal business name Medina, Idaliana
Credentials Master of Education (MED)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2020
Last updated Sep 21st, 2020 - about 6 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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