Doctor Name: | PETER HAM |
NPI Number: | 1053480889 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMHC |
License Number: | 1287 |
Business Practice Address: | 466 County St New Bedford, MA - 027405107 |
Business Phone Number: | 5089970794 |
Business Fax Number: | 5089996607 |
Mailing Address: | 42 Windchime Dr, MANSFIELD |
State: | MA |
Postal Code: | 020482934 |
Phone Number: | 5083378687 |
Fax Number: | 5089996607 |
NPI Enumeration Date: | 11/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1287 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |