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Contact Information

DIPTI MUDGAL, PHD
596 SUMMER ST
BROCKTON, MA02302
 Phone: 508-588-8800
 Fax: 508-588-4188
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Behavior Analyst

103K00000X
Indicates primary specialty

NPI Profile & details for DIPTI MUDGAL · (Female)

NPI Number 1437381019
Status Active
Credentials PHD
Entity Individual
Enumeration date 08/17/2009
Last updated 05/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • License # 1-09-5080
  • MA License # 8942
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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