Healthcare Provider Details

I. General information

NPI: 1932682291
Provider Name (Legal Business Name): DONNA LEVINE MAGLIOZZI MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/12/2018
Last Update Date: 09/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 ABINGTON ST
HINGHAM MA
02043-4314
US

IV. Provider business mailing address

95 SEXTON AVE
WESTWOOD MA
02090-2824
US

V. Phone/Fax

Practice location:
  • Phone: 339-201-4525
  • Fax:
Mailing address:
  • Phone: 781-864-9349
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number1015843
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: