Provider Demographics
NPI:1114891850
Name:DIBIASIE, MICHELLE (CPD, CLD, NCE)
Entity type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:DIBIASIE
Suffix:
Gender:F
Credentials:CPD, CLD, NCE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1021 DORCHESTER AVE
Mailing Address - Street 2:
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-4501
Mailing Address - Country:US
Mailing Address - Phone:781-444-4063
Mailing Address - Fax:
Practice Address - Street 1:935 GREAT PLAIN AVE UNIT 194
Practice Address - Street 2:
Practice Address - City:NEEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02492-3031
Practice Address - Country:US
Practice Address - Phone:781-444-4063
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-10-04
Last Update Date:2025-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula