| Organization Name: | ASHMONT COUNSELING ASSOCIATES LLC |
| NPI Number: | 1003099417 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARTIN RANDY PIERRE (LICENSED PSYCHOLOGIST) |
| Mailing Address: | 172 Ashmont St Dorchester Center |
| State: | MA US |
| Postal Code: | 021243745 |
| Phone Number: | 6172247289 |
| Fax Number: | 6172882992 |
| NPI Enumeration Date: | 12/07/2007 |
| NPI Last Update Date: | 12/20/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC1900X |
| License Number: | 8761 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Counseling |
| Taxonomy Definition: | |