Picciotto, Mark
Picciotto, Mark is an sole proprietor health care provider with primary practice located at 940 Belmont St Bldg 72C, Brockton MA 02301-5596. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Picciotto, Mark can be contacted via phone (508) 894-8423.Contact Information
Primary practice address
940 Belmont St Bldg 72C
Brockton MA 02301-5596
Phone: (508) 894-8423
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 4500 | Massachusetts |
Profile Details
| NPI number | 1902955370 |
|---|---|
| LBN Legal business name | Picciotto, Mark |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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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