Provider Demographics
NPI:1275121378
Name:SIROIS, MARIA
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:SIROIS
Suffix:
Gender:F
Credentials:
Other - Prefix:DR
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:SIROIS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PSYD
Mailing Address - Street 1:70 DUNMORE CT
Mailing Address - Street 2:
Mailing Address - City:LENOX
Mailing Address - State:MA
Mailing Address - Zip Code:01240-2613
Mailing Address - Country:US
Mailing Address - Phone:413-441-8167
Mailing Address - Fax:
Practice Address - Street 1:70 DUNMORE CT
Practice Address - Street 2:
Practice Address - City:LENOX
Practice Address - State:MA
Practice Address - Zip Code:01240-2613
Practice Address - Country:US
Practice Address - Phone:413-441-8167
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-05
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7186103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist