Provider Demographics
NPI:1720179724
Name:BRUZZESE, RALPH (LMHC, EDD)
Entity type:Individual
Prefix:DR
First Name:RALPH
Middle Name:
Last Name:BRUZZESE
Suffix:
Gender:M
Credentials:LMHC, EDD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:427 COLUMBIA ROAD, SUITE 110
Mailing Address - Street 2:
Mailing Address - City:HANOVER
Mailing Address - State:MA
Mailing Address - Zip Code:02339
Mailing Address - Country:US
Mailing Address - Phone:781-987-3080
Mailing Address - Fax:
Practice Address - Street 1:10 SEA ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02191-1415
Practice Address - Country:US
Practice Address - Phone:774-250-2528
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8816101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health