Provider Demographics
NPI:1215558978
Name:BUCCI, ALDEN FB (LMHC)
Entity Type:Individual
Prefix:
First Name:ALDEN
Middle Name:FB
Last Name:BUCCI
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:ALEXANDRA
Other - Middle Name:FRANCESCA BORGIA
Other - Last Name:BUCCI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:77 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01748-1193
Mailing Address - Country:US
Mailing Address - Phone:774-509-5059
Mailing Address - Fax:774-250-2693
Practice Address - Street 1:1 CLARKS HL STE 302
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01702-8172
Practice Address - Country:US
Practice Address - Phone:508-589-5333
Practice Address - Fax:774-250-2693
Is Sole Proprietor?:No
Enumeration Date:2020-05-04
Last Update Date:2024-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
MALMHC10001080101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor