Provider Demographics
NPI:1093880395
Name:RASSIGA, EVE (EDD)
Entity Type:Individual
Prefix:DR
First Name:EVE
Middle Name:
Last Name:RASSIGA
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 OAKDALE LN
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:MA
Mailing Address - Zip Code:01773-1710
Mailing Address - Country:US
Mailing Address - Phone:781-259-9911
Mailing Address - Fax:
Practice Address - Street 1:3 OAKDALE LN
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:MA
Practice Address - Zip Code:01773-1710
Practice Address - Country:US
Practice Address - Phone:781-259-9911
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2825103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling