Vacca, Dorothy Mary
Vacca, Dorothy Mary is an sole proprietor health care provider with primary practice located at 98 Raffaele Dr , Waltham MA 02452-0313. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Vacca, Dorothy Mary can be contacted via phone (781) 899-2091.Contact Information
Primary practice address
98 Raffaele Dr
Waltham MA 02452-0313
Phone: (781) 899-2091
Fax: (781) 899-2091
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 4377 | Massachusetts |
Profile Details
| NPI number | 1932124344 |
|---|---|
| LBN Legal business name | Vacca, Dorothy Mary |
| Credentials | ED.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932124344 | NPPES |
| Michigan | Other | WO4261 | BLUE CROSS BLUE SHIELD PR |
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