Individual
DR. DIPTI MUDGAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
596 SUMMER ST, BROCKTON, MA 02302
(508) 588-8800
(508) 588-4188
Mailing address
37 EAMES WAY, MARSHFIELD, MA 02050-6325
(601) 310-5856
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
1-09-5080
—
103T00000X
Psychologist
Primary
8942
MA
Other
Enumeration date
08/17/2009
Last updated
05/14/2018
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