Doctor Name: | MR. JOSEPH P. CRITELLI |
NPI Number: | 1437328036 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.ED. |
License Number: | 4751 |
Business Practice Address: | 1200 Converse St Longmeadow, MA - 011061760 |
Business Phone Number: | 4135632665 |
Business Fax Number: | |
Mailing Address: | 91 East St, GRANBY |
State: | MA |
Postal Code: | 010339548 |
Phone Number: | 4134672710 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2008 |
NPI Last Update Date: | 02/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 4751 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |