Denietolis, Brian M.

Denietolis, Brian M. is an individual health care provider with primary practice located at 305 Belmont St Umass Adolescent Continuing Care Unit, Worcester MA 01604-1681. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Clinical Child & Adolescent is his primary health care specialty. Denietolis, Brian M. can be contacted via phone (508) 368-3756.

Contact Information

Primary practice address
305 Belmont St Umass Adolescent Continuing Care Unit Worcester MA 01604-1681
Phone: (508) 368-3756
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 9444 Massachusetts
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 9444 Massachusetts

Profile Details

NPI number 1396012373
LBN Legal business name Denietolis, Brian M.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 19th, 2011
Last updated Nov 19th, 2011 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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