Doctor Name: | DR. JOEL PITON |
NPI Number: | 1144360637 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD, M.ED |
License Number: | |
Business Practice Address: | 420 Washington St Dorchester Center, MA - 021241127 |
Business Phone Number: | 6172650628 |
Business Fax Number: | 6172654134 |
Mailing Address: | 1 Hemlock Ter, RANDOLPH |
State: | MA |
Postal Code: | 023683907 |
Phone Number: | 6177218948 |
Fax Number: | |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |