Provider Demographics
NPI:1821294356
Name:DILL AND ASSOCIATES, INCORPORATED
Entity Type:Organization
Organization Name:DILL AND ASSOCIATES, INCORPORATED
Other - Org Name:WORKING TOGETHER SM
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANA
Authorized Official - Middle Name:L
Authorized Official - Last Name:DILL
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:617-876-2448
Mailing Address - Street 1:56 RALEIGH RD
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:MA
Mailing Address - Zip Code:02478-2839
Mailing Address - Country:US
Mailing Address - Phone:617-876-2448
Mailing Address - Fax:
Practice Address - Street 1:56 RALEIGH RD
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:MA
Practice Address - Zip Code:02478-2839
Practice Address - Country:US
Practice Address - Phone:617-876-2448
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA4212103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW10455OtherMA BCBS