Doctor Name: | PENELOPE APONTE |
NPI Number: | 1366888018 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 76 Church St # 301 Whitinsville, MA - 015881464 |
Business Phone Number: | 5082344181 |
Business Fax Number: | |
Mailing Address: | 5 Fales St, Apt.3b WORCESTER |
State: | MA |
Postal Code: | 016062052 |
Phone Number: | 7748230720 |
Fax Number: | |
NPI Enumeration Date: | 05/21/2013 |
NPI Last Update Date: | 05/21/2013 |
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: |