Provider Demographics
NPI:1265641807
Name:VINTON, DAVID S (LMHC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:S
Last Name:VINTON
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:127 SOUTH ST
Mailing Address - Street 2:
Mailing Address - City:HANSON
Mailing Address - State:MA
Mailing Address - Zip Code:02341-2059
Mailing Address - Country:US
Mailing Address - Phone:781-626-3853
Mailing Address - Fax:
Practice Address - Street 1:127 SOUTH ST
Practice Address - Street 2:
Practice Address - City:HANSON
Practice Address - State:MA
Practice Address - Zip Code:02341-2059
Practice Address - Country:US
Practice Address - Phone:781-626-3853
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-21
Last Update Date:2014-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5585101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health