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Samantha Dutra, Llc
Adolescent and Children Mental Health Clinic/Center in Arlington, Massachusetts
NPI 1962992495

Samantha Dutra, Llc is an Adolescent and Children Mental Health Clinic/Center based in Arlington, MA and is specialized in Adolescent and Children Mental Health. Samantha Dutra, Llc practices in Arlington, MA. The NPI Number for Samantha Dutra, Llc is 1962992495 and holds a License No. (Massachusetts).

The current practice location address for Samantha Dutra, Llc is 69 Appleton St, Arlington, MA and can be reached out via phone at 781-218-9773.

Location: 69 Appleton St, Arlington, MA, 02476-5955
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1962992495
Provider Name
Samantha Dutra, Llc
Credential
Provider Entity Type
Organization
Address
69 Appleton St, Arlington, MA, 02476-5955
Phone Number
781-218-9773
Fax Number
Provider Enumeration Date
05/10/2018
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
69 Appleton St
City
Arlington
State
Massachusetts
Zip
02476-5955
Phone Number
781-218-9773
Fax Number
person
Provider Business Mailing Address Details
Address
69 Appleton St
City
Arlington
State
Massachusetts
Zip
02476-5955
Phone Number
781-218-9773
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
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