Rotolo, Nicholas Armand
Rotolo, Nicholas Armand is an sole proprietor health care provider with primary practice located at 20 Hope Ave Ste 107 , Waltham MA 02453-2717. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Rotolo, Nicholas Armand can be contacted via phone (508) 847-9642.Contact Information
Primary practice address
20 Hope Ave Ste 107
Waltham MA 02453-2717
Phone: (508) 847-9642
Fax: (781) 609-7408
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 10670 | Massachusetts |
Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 10670 | Massachusetts |
Profile Details
NPI number | 1932587078 |
---|---|
LBN Legal business name | Rotolo, Nicholas Armand |
Credentials | PSY.D. |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 8th, 2015 |
Last updated | May 11th, 2022 - about 2 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1932587078 | NPPES |
Massachusetts | MEDICAID | 1303619 |
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