Doctor Name: | ANTHONY G PENTA |
NPI Number: | 1073839726 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | B.S. |
License Number: | S68124815 |
Business Practice Address: | 35 Summer St 202a Taunton, MA - 027803469 |
Business Phone Number: | 5082078819 |
Business Fax Number: | 5088842476 |
Mailing Address: | 35 Summer St, 202a TAUNTON |
State: | MA |
Postal Code: | 027803469 |
Phone Number: | 5082078819 |
Fax Number: | 5088842476 |
NPI Enumeration Date: | 04/20/2010 |
NPI Last Update Date: | 04/20/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | S68124815 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |