Provider Demographics
NPI:1730362245
Name:ALPERIN, MITCHELL (EDM)
Entity type:Individual
Prefix:
First Name:MITCHELL
Middle Name:
Last Name:ALPERIN
Suffix:
Gender:M
Credentials:EDM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26 BEACON ST
Mailing Address - Street 2:APT. 68E
Mailing Address - City:BURLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:01803-3803
Mailing Address - Country:US
Mailing Address - Phone:781-229-0357
Mailing Address - Fax:
Practice Address - Street 1:29 FRANCIS RD
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-1831
Practice Address - Country:US
Practice Address - Phone:781-229-0357
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health