Sophia Vidana

NPI 1639808330 · on the registry since 2022

Practice

Address: 12 Methuen St
Lawrence, MA 01840
Phone: (978) 683-3128
Organisation at this address: Northeast Behavioral Health
Northeast Behavioral Health Corporation
Institute For Family Centered Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 141

Registry record

Primary taxonomy: 104100000X
104100000X
Licence states on file: MA
From the registry's licence fields, which are often incomplete.
Sex: Female
Record last updated: 2022-06-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts