Healthcare Provider Details

I. General information

NPI: 1346207156
Provider Name (Legal Business Name): DIANE M. RIGNEY LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

112 MAIN ST SUITE 105
NORTHBORO MA
01532-1914
US

IV. Provider business mailing address

112 MAIN ST SUITE 105
NORTHBORO MA
01532-1914
US

V. Phone/Fax

Practice location:
  • Phone: 508-393-7223
  • Fax: 508-393-7026
Mailing address:
  • Phone: 508-393-7223
  • Fax: 508-393-7026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number665
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: