Individual
DIANE SCIALABBA WEAVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
60 HODGES AVE # 4, TAUNTON, MA 02780-3034
(508) 977-3491
Mailing address
23 DEER PATH, BOLTON, MA 01740-2003
(978) 779-0399
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7779
MA
Other
Enumeration date
01/09/2007
Last updated
07/08/2007
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