Provider Demographics
NPI:1427224120
Name:MONIZ, ESPERANCA V (MA)
Entity type:Individual
Prefix:
First Name:ESPERANCA
Middle Name:V
Last Name:MONIZ
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 1:720 JEFFERSON ST
Mailing Address - Street 2:
Mailing Address - City:FALL RIVER
Mailing Address - State:MA
Mailing Address - Zip Code:02721-4929
Mailing Address - Country:US
Mailing Address - Phone:626-319-7365
Mailing Address - Fax:
Practice Address - Street 1:720 JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02721-4929
Practice Address - Country:US
Practice Address - Phone:626-319-7365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2024-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3279101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health