Provider Demographics
NPI:1477044618
Name:DIRUBBO, NATALIE JOAN (PSYD)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:JOAN
Last Name:DIRUBBO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:JOAN
Other - Last Name:CASEY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:PO BOX 378
Mailing Address - Street 2:
Mailing Address - City:WEST GROTON
Mailing Address - State:MA
Mailing Address - Zip Code:01472-0378
Mailing Address - Country:US
Mailing Address - Phone:781-710-3352
Mailing Address - Fax:
Practice Address - Street 1:89 ACCESS RD STE 24
Practice Address - Street 2:
Practice Address - City:NORWOOD
Practice Address - State:MA
Practice Address - Zip Code:02062-5233
Practice Address - Country:US
Practice Address - Phone:781-551-0999
Practice Address - Fax:781-551-3396
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-23
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11136103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical