Provider Demographics
NPI:1134998149
Name:TORRES, MARIA ELENA (PHD)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:ELENA
Last Name:TORRES
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:55 KENSINGTON AVE APT 1
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-2934
Mailing Address - Country:US
Mailing Address - Phone:413-275-5055
Mailing Address - Fax:
Practice Address - Street 1:55 KENSINGTON AVE APT 1
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-2934
Practice Address - Country:US
Practice Address - Phone:413-275-5055
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-02
Last Update Date:2024-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5552101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional