Provider Demographics
NPI:1861530693
Name:KURINSKY, DIANE P (EDD)
Entity type:Individual
Prefix:DR
First Name:DIANE
Middle Name:P
Last Name:KURINSKY
Suffix:
Gender:F
Credentials:EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-3262
Mailing Address - Country:US
Mailing Address - Phone:413-772-6080
Mailing Address - Fax:413-772-2640
Practice Address - Street 1:277 MAIN ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3262
Practice Address - Country:US
Practice Address - Phone:413-772-6080
Practice Address - Fax:413-772-2640
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2011-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1917101YA0400X
MA4490103TC1900X
MA996106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAWO4370OtherBLUE CROSS PROVIDER NUM
MAWO4370OtherBLUE CROSS PROVIDER NUM