Doctor Name: | RICHARD BERNARD ABELLI |
NPI Number: | 1003962234 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 5473 |
Business Practice Address: | 390 Main St Suite 1049 Worcester, MA - 016082583 |
Business Phone Number: | 5087538100 |
Business Fax Number: | 5087924026 |
Mailing Address: | 39 Austen Way, #11a MARLBOROUGH |
State: | MA |
Postal Code: | 017524755 |
Phone Number: | 5083413379 |
Fax Number: | 5987924026 |
NPI Enumeration Date: | 01/29/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 5473 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |