MEDICARE: DR. GABRIELA TOUTIN DIAS PSYD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	10000769	MA

General Provider Information

NPI Number	:	1831712504
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. GABRIELA TOUTIN DIAS PSYD

Provider Business Mailing Address
First Line	:	167 S BROADWAY STE 5
Second Line	:
City	:	SALEM
State	:	NH
Zip	:	03079-3379
Country	:	US
Telephone Number	:	617-209-9597
Fax Number	:

Provider Business Practice Location Address
First Line	:	167 S BROADWAY STE 5
Second Line	:
City	:	SALEM
State	:	NH
Zip	:	03079-3379
Country	:	US
Telephone Number	:	617-209-9597
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/28/2020
Last Update Date	:	04/09/2026

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