Cacciola, Eleanora

Cacciola, Eleanora is an individual health care provider with primary practice located at 135 Gold Star Blvd , Worcester MA 01606-2738. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Cacciola, Eleanora can be contacted via phone (508) 459-6400.

Contact Information

Primary practice address
135 Gold Star Blvd Worcester MA 01606-2738
Phone: (508) 459-6400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 11794 Massachusetts
Behavioral Health & Social Service Providers / Clinical 103TC0700X 11794 Massachusetts

Profile Details

NPI number 1265806400
LBN Legal business name Cacciola, Eleanora
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 27th, 2015
Last updated May 11th, 2022 - about 2 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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