Provider Demographics
NPI:1922200849
Name:DIAS, LUCIA R (BA)
Entity Type:Individual
Prefix:MS
First Name:LUCIA
Middle Name:R
Last Name:DIAS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1402 PLEASANT STREET
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02723
Mailing Address - Country:US
Mailing Address - Phone:508-679-0962
Mailing Address - Fax:
Practice Address - Street 1:1402 PLEASANT STREET
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723
Practice Address - Country:US
Practice Address - Phone:508-679-0962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor