Doctor Name: | PAUL D'ESPINOZA |
NPI Number: | 1003087263 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 4562 |
Business Practice Address: | 39a Industrial Park Rd Plymouth, MA - 023604868 |
Business Phone Number: | 5088301444 |
Business Fax Number: | 5088303655 |
Mailing Address: | Po Box 6146, PLYMOUTH |
State: | MA |
Postal Code: | 023626146 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/17/2008 |
NPI Last Update Date: | 03/17/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |