Provider Demographics
NPI:1649463720
Name:BAPTISTA, LIGIA MARIA (PHD)
Entity type:Individual
Prefix:DR
First Name:LIGIA
Middle Name:MARIA
Last Name:BAPTISTA
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 1:42 RUSTIC ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1024
Mailing Address - Country:US
Mailing Address - Phone:617-233-9224
Mailing Address - Fax:
Practice Address - Street 1:76 CHESTNUT ST STE A
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-2528
Practice Address - Country:US
Practice Address - Phone:617-233-9224
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8610103TB0200X, 103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No103TB0200XBehavioral Health & Social Service ProvidersPsychologistCognitive & Behavioral