Doctor Name: | DR. JAMES DOMENIC DELEPPO |
NPI Number: | 1356381313 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | EDD |
License Number: | 593 |
Business Practice Address: | 12 Mechanic St Ste 3 Foxboro, MA - 020351551 |
Business Phone Number: | 5085434108 |
Business Fax Number: | 5085434924 |
Mailing Address: | 27 Lewis Rd, FOXBORO |
State: | MA |
Postal Code: | 020351551 |
Phone Number: | 5085434108 |
Fax Number: | 5085434924 |
NPI Enumeration Date: | 06/07/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 593 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |