Siceron-Reyna, Alfida E

Siceron-Reyna, Alfida E is an individual health care provider with primary practice located at 484 Main St Suite 450, Worcester MA 01608-1893. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Siceron-Reyna, Alfida E can be contacted via phone (508) 752-2590.

Contact Information

Primary practice address
484 Main St Suite 450 Worcester MA 01608-1893
Phone: (508) 752-2590
Fax: (508) 753-5051
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1669760880
LBN Legal business name Siceron-Reyna, Alfida E
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2011
Last updated Jul 21st, 2011 - about 14 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 1669760880 NPPES
Massachusetts MEDICAID 1306461
Massachusetts MEDICAID 1308785
Massachusetts Other 2220002001
Massachusetts Other M18684

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