Provider Demographics
NPI:1851581466
Name:PAIS, RHONDA REUTER (LICSW)
Entity Type:Individual
Prefix:
First Name:RHONDA
Middle Name:REUTER
Last Name:PAIS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 AZALEA RD
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-3211
Mailing Address - Country:US
Mailing Address - Phone:781-974-6895
Mailing Address - Fax:781-784-2303
Practice Address - Street 1:1416 PROVIDENCE HWY
Practice Address - Street 2:SUITE 220
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-4648
Practice Address - Country:US
Practice Address - Phone:781-974-6895
Practice Address - Fax:781-784-2303
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-30
Last Update Date:2009-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10167191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical