Provider Demographics
NPI:1528278397
Name:DIGIANNI, CAROL (MED, LMFT, LMHC)
Entity type:Individual
Prefix:MS
First Name:CAROL
Middle Name:
Last Name:DIGIANNI
Suffix:
Gender:F
Credentials:MED, LMFT, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 467
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:MA
Mailing Address - Zip Code:01773-0467
Mailing Address - Country:US
Mailing Address - Phone:781-862-3426
Mailing Address - Fax:
Practice Address - Street 1:145 LINCOLN RD
Practice Address - Street 2:SUITE 203
Practice Address - City:LINCOLN
Practice Address - State:MA
Practice Address - Zip Code:01773-7328
Practice Address - Country:US
Practice Address - Phone:781-862-3426
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2013-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1890101YM0800X
MA602106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health