Individual
MRS. EDNA N. RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY D.
Contact information
Practice address
2155 MAIN STREET, SPRINGFIELD, MA 01104
(413) 736-0395
(413) 734-1651
Mailing address
2155 MAIN STREET, SPRINGFIELD, MA 01104
(413) 736-0395
(413) 734-1651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1303295
—
MA
Enumeration date
11/02/2013
Last updated
11/02/2013
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