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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

LOU ANN DISTEFANO

Active Sole Proprietor

LOU ANN DISTEFANO is a Community/Behavioral Health healthcare provider located in SPRINGFIELD, Massachusetts. NPI 1083997795 is currently active in the NPPES registry. Verify at CMS.

Community/Behavioral Health · SPRINGFIELD, MA

Registration Details

NPI Number
1083997795
Provider Type
Individual
Gender
Female
NPI Issued
Sep 20, 2011 (14.712768571089 yrs)
Last Updated
Sep 20, 2011
Sole Proprietor
Yes

Practice Information

Address
130 MAPLE ST
SUITE 325
SPRINGFIELD, MA, 011032202
Browse MA providers · Browse ZIP 01103
Phone
4137379544
Primary Specialty
Community/Behavioral Health
251S00000X

Other Community/Behavioral Health Providers in SPRINGFIELD, MA

Name Credential NPI
RYAN HOULDSWORTH DEMPSEY M.S. 1871805358
DANIELLE VICTORIA MARROW 1871875427
SHAHIN SHAFIQ RASHAD 1396015806
ALICIA THOMAS 1538413547
VALARIE ANDREWS 1457728784
KRISHANTI ALISHA WILLIAMS 1306346085
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.