Healthcare Provider Details

I. General information

NPI: 1790437101
Provider Name (Legal Business Name): ARABEL DIANA YOUNGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2022
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

118 NORTH ST
SOMERVILLE MA
02144-1124
US

IV. Provider business mailing address

118 NORTH ST
SOMERVILLE MA
02144-1124
US

V. Phone/Fax

Practice location:
  • Phone: 617-776-3377
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: