Provider Demographics
NPI:1366278947
Name:CARUSO, DANA (MA)
Entity type:Individual
Prefix:
First Name:DANA
Middle Name:
Last Name:CARUSO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 MILLER ST APT 3
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:RI
Mailing Address - Zip Code:02885-3149
Mailing Address - Country:US
Mailing Address - Phone:310-730-9731
Mailing Address - Fax:
Practice Address - Street 1:1052 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02723-1602
Practice Address - Country:US
Practice Address - Phone:774-322-2101
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-11
Last Update Date:2024-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health