Provider Demographics
NPI:1669779385
Name:RESHAMWALA, DIYA GHOSH (MA)
Entity type:Individual
Prefix:MS
First Name:DIYA
Middle Name:GHOSH
Last Name:RESHAMWALA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:5 BANK ST
Mailing Address - Street 2:2 FLOOR, STE 206
Mailing Address - City:ATTLEBORO
Mailing Address - State:MA
Mailing Address - Zip Code:02703-2312
Mailing Address - Country:US
Mailing Address - Phone:508-222-8812
Mailing Address - Fax:508-222-8835
Practice Address - Street 1:5 BANK ST
Practice Address - Street 2:2 FLOOR, STE 206
Practice Address - City:ATTLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02703-2312
Practice Address - Country:US
Practice Address - Phone:508-222-8812
Practice Address - Fax:508-222-8835
Is Sole Proprietor?:No
Enumeration Date:2011-02-15
Last Update Date:2011-02-15
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health