Active NPIIndividual provider

Kelly R Dietel, MA

Developmental Therapist in Woburn, Massachusetts

NPI Number1750633624
Practice location
10J Gill St, Woburn, MA 01801-1721
Fax
—
Last updated
November 7, 2012

Kelly R. Dietel is a Developmental Therapist based in Woburn, MA. Kelly R. Dietel practices in Woburn, MA and has the professional credentials of MA. The NPI Number for Kelly R. Dietel is 1750633624. The current practice location address for Kelly R. Dietel is 10J Gill St, Woburn, MA 01801-1721 and can be reached out via phone at 781-932-2888.

Provider Profile Details

NPI Number
1750633624
Provider Name
Kelly R. Dietel
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
10J Gill St, Woburn, MA 01801-1721
Phone Number
781-932-2888
Primary Taxonomy
Developmental Therapist · 222Q00000X
Sole Proprietor
No
Provider Enumeration Date
October 2, 2012
Last Update Date
November 7, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
10J Gill St
Woburn, MA 01801-1721
City
Woburn
Zip
01801-1721
Phone Number
781-932-2888
Woburn, MA 01801Get directions →

Provider Business Mailing Address Details

Address
20 Canterbury RD
Winchester, MA 01890-3813
City
Winchester
State
MA
Zip
01890-3813
Phone Number
781-721-1322

License Information

Taxonomy
Developmental Therapist · 222Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kelly R Dietel, MA?

The NPI number of Kelly R Dietel, MA is 1750633624. It was assigned on October 2, 2012 and is currently active in the NPPES registry.

What is the specialty of Kelly R Dietel, MA?

Kelly R Dietel, MA is registered under the primary taxonomy Developmental Therapist (code 222Q00000X).

Where does Kelly R Dietel, MA practice?

The practice location is 10J Gill St, Woburn, MA 01801-1721. The office can be reached at 781-932-2888 (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 1750633624 directly on the NPPES registry website.

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