| Doctor Name: | MR. ROBERT H DIMITRI |
| NPI Number: | 1245394733 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PHD |
| License Number: | 1274 |
| Business Practice Address: | 17 Meredith Road Forestdale, MA - 026440131 |
| Business Phone Number: | 5084771176 |
| Business Fax Number: | 5084771176 |
| Mailing Address: | Po Box 131, 17 Meredith Road FORESTDALE |
| State: | MA |
| Postal Code: | 026440131 |
| Phone Number: | 5084771176 |
| Fax Number: | 5084771176 |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 1274 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |