Provider Demographics
NPI:1912179417
Name:FIUMARA, COLLEEN BRIDGET (MS, DTR)
Entity Type:Individual
Prefix:MRS
First Name:COLLEEN
Middle Name:BRIDGET
Last Name:FIUMARA
Suffix:
Gender:F
Credentials:MS, DTR
Other - Prefix:MISS
Other - First Name:COLLEEN
Other - Middle Name:BRIDGET
Other - Last Name:ALEKNA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:950 CAMBRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02141-1001
Mailing Address - Country:US
Mailing Address - Phone:617-441-1800
Mailing Address - Fax:
Practice Address - Street 1:950 CAMBRIDGE ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02141-1001
Practice Address - Country:US
Practice Address - Phone:617-441-1800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-03-25
Last Update Date:2008-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor