institution
Luz Evangeline S Dizon Md Pc
Mental Health Counselor in Brockton, Massachusetts
NPI 1700935988

Luz Evangeline S Dizon Md Pc is a Mental Health Counselor based in Brockton, MA and is specialized in Mental Health. Luz Evangeline S Dizon Md Pc practices in Brockton, MA. The NPI Number for Luz Evangeline S Dizon Md Pc is 1700935988 and holds a License No. 81052 (Massachusetts).

The current practice location address for Luz Evangeline S Dizon Md Pc is 235 N Pearl St, Brockton, MA and can be reached out via phone at 508-427-2525.

Location: 235 N Pearl St, Brockton, MA, 02301-1794
institution
Provider Profile Details
NPI Number
1700935988
Provider Name
Luz Evangeline S Dizon Md Pc
Credential
Provider Entity Type
Organization
Address
235 N Pearl St, Brockton, MA, 02301-1794
Phone Number
508-427-2525
Fax Number
Provider Enumeration Date
01/09/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
M19352 01 MA BLUE SHIELD
9774670 05 MA
institution
Provider Business Practice Location Address Details
Address
235 N Pearl St
City
State
Zip
02301-1794
Phone Number
508-427-2525
Fax Number
person
Provider Business Mailing Address Details
Address
235 N Pearl St
City
State
Zip
02301-1794
Phone Number
508-427-2525
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
81052 (Massachusetts)
Definition
Definition to come...
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