Idaliana Medina, MED
Psychologist, Clinical Child & Adolescent in Worcester, Massachusetts
1467068866- Practice location
- 11 Sycamore St, Worcester, MA 01608-2213
- Phone
- 508-798-1900
- Fax
- —
- Last updated
- September 21, 2020
Idaliana Medina is a Psychologist, Clinical Child & Adolescent based in Worcester, MA. Idaliana Medina practices in Worcester, MA and has the professional credentials of MED. The NPI Number for Idaliana Medina is 1467068866. The current practice location address for Idaliana Medina is 11 Sycamore St, Worcester, MA 01608-2213 and can be reached out via phone at 508-798-1900.
Provider Profile Details
- NPI Number
- 1467068866
- Provider Name
- Idaliana Medina
- Credential
- MED
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 11 Sycamore St, Worcester, MA 01608-2213
- Phone Number
- 508-798-1900
- Primary Taxonomy
- Psychologist, Clinical Child & Adolescent · 103TC2200X
- Sole Proprietor
- No
- Provider Enumeration Date
- September 21, 2020
- Last Update Date
- September 21, 2020
- Certification Date
- September 18, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 11 Sycamore St
Worcester, MA 01608-2213 - City
- Worcester
- State
- Massachusetts
- Zip
- 01608-2213
- Phone Number
- 508-798-1900
Provider Business Mailing Address Details
- Address
- Po Box 73
Worcester, MA 01613-0073 - City
- Worcester
- State
- MA
- Zip
- 01613-0073
License Information
- Taxonomy
- Psychologist, Clinical Child & Adolescent · 103TC2200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical Child & Adolescent providers near Worcester, MA
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Frequently Asked Questions
What is the NPI number of Idaliana Medina, MED?
The NPI number of Idaliana Medina, MED is 1467068866. It was assigned on September 21, 2020 and is currently active in the NPPES registry.
What is the specialty of Idaliana Medina, MED?
Idaliana Medina, MED is registered under the primary taxonomy Psychologist, Clinical Child & Adolescent (code 103TC2200X).
Where does Idaliana Medina, MED practice?
The practice location is 11 Sycamore St, Worcester, MA 01608-2213. The office can be reached at 508-798-1900 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1467068866 directly on the NPPES registry website.