Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Idaliana Medina, MED

Individual provider Clinical Child & Adolescent Psychologist · NPI 1467068866

Idaliana Medina, MED is a Clinical Child & Adolescent Psychologist in Worcester, Massachusetts. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
MED — Master of Education
A graduate education degree, written M.Ed.

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Practice location Address checks out

11 Sycamore St
Worcester, MA 01608-2213
Phone: (508) 798-1900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Child & Adolescent Psychologist (primary) Taxonomy 103TC2200X

Record details

NPI number1467068866
Entity typeIndividual (Type 1)
GenderFemale
Credentials MED
Sole proprietorNo
NPI enumeratedSeptember 21, 2020
Last updated in NPPESSeptember 21, 2020
Certification dateSeptember 18, 2020

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