Doctor Name: | MR. SALVATORE VINCENT BELLISTRI |
NPI Number: | 1154458065 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LSW |
License Number: | 300555 |
Business Practice Address: | 69 Captain Vinal Way Norwell, MA - 020611023 |
Business Phone Number: | 7816594555 |
Business Fax Number: | 6172275447 |
Mailing Address: | 69 Captain Vinal Way, NORWELL |
State: | MA |
Postal Code: | 020611023 |
Phone Number: | 7816594555 |
Fax Number: | 6172275447 |
NPI Enumeration Date: | 02/27/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 300555 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |