Organization
DIANA L. VILLEGAS PH.D. LICSW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA L. VILLEGAS PH.D. MSW (PSYCHOTHERAPIST)
(978) 266-2990
Entity
Organization
Contact information
Practice address
481 GREAT RD, STE 215, ACTON, MA 01720-4157
(978) 266-2990
(978) 266-2990
Mailing address
481 GREAT RD, STE 215, ACTON, MA 01720-4157
(978) 266-2990
(978) 266-2990
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P04294
BC & BS OF MA
MA
Enumeration date
04/23/2007
Last updated
08/22/2020
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