Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TC1900X | Counseling Psychologist | 2825 | MA |
NPI | 1093880395 |
---|---|
Provider Name | Dr. Eve Rassiga |
First Address | Lincoln, MA 01773-1710 |
Second Address | Lincoln, MA 01773-1710 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2006 |
Last Update Date | 08/07/2007 |