Provider Information for 1184278434
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DIANETTE MARIE OLIVA LMHC
Sex: Female
NPI: 1184278434
Last Updated: 2023-07-27
Certification Date: 2023-07-27
Certification Date: 2023-07-27
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1184278434 | ||||||||
| Enumeration Date | 2019-07-25 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | BAVOY MENTAL HEALTH COUNSELING, PLLC 466 E MAIN STREET MIDDLETOWN, NY 10940-2516 United States Phone: 845-843-6400 | Fax:845-421-6804 | ||||||||
| Primary Practice Address | BAVOY MENTAL HEALTH COUNSELING, PLLC 466 E MAIN STREET MIDDLETOWN, NY 10940-2516 United States Phone: 845-843-6400 | Fax:845-421-6804 | ||||||||
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