MRS. DIANTHE WARREN EISENDRATH MSS
NPI 1508075219
Counselor - Mental Health in Belmont, MA
Active since May 21, 2007
About Mrs. Dianthe Warren Eisendrath Mss NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. DIANTHE WARREN EISENDRATH MSS (NPI 1508075219) is an individual mental health provider in Belmont, Massachusetts, licensed in Massachusetts (100425) and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1508075219
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. DIANTHE WARREN EISENDRATHCredential: MSS
Location Address85 JUNIPER RDBelmont, MA 02478-2033
Mailing Address85 Juniper RdBelmont, MA 02478-2033 · (617) 489-0385 · Fax (617) 489-4055
Phone(617) 489-0385
Fax(617) 489-4055
Sole ProprietorYes
Enumeration DateMay 21, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1508075219 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in MA · 100425
85 JUNIPER RD, Belmont, MA 02478
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508075219, enumerated as an "individual" on May 21, 2007.
The provider is located at 85 JUNIPER RD BELMONT, MA 02478 and the phone number is (617) 489-0385.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
