Provider Demographics
NPI:1003112897
Name:TOUCHETTE, MARYANN
Entity Type:Individual
Prefix:MS
First Name:MARYANN
Middle Name:
Last Name:TOUCHETTE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:50 BISHOP RD
Mailing Address - Street 2:
Mailing Address - City:MALDEN
Mailing Address - State:MA
Mailing Address - Zip Code:02148-3058
Mailing Address - Country:US
Mailing Address - Phone:978-479-5428
Mailing Address - Fax:
Practice Address - Street 1:50 BISHOP RD
Practice Address - Street 2:
Practice Address - City:MALDEN
Practice Address - State:MA
Practice Address - Zip Code:02148-3058
Practice Address - Country:US
Practice Address - Phone:978-479-5428
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-27
Last Update Date:2011-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor