Provider Demographics
NPI:1326709650
Name:DENTON, ANN-MARIE (LMHC)
Entity Type:Individual
Prefix:
First Name:ANN-MARIE
Middle Name:
Last Name:DENTON
Suffix:
Gender:F
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:PO BOX 365775
Mailing Address - Street 2:
Mailing Address - City:HYDE PARK
Mailing Address - State:MA
Mailing Address - Zip Code:02136-0014
Mailing Address - Country:US
Mailing Address - Phone:857-294-2958
Mailing Address - Fax:
Practice Address - Street 1:29 PINE AVE
Practice Address - Street 2:
Practice Address - City:RANDOLPH
Practice Address - State:MA
Practice Address - Zip Code:02368-3832
Practice Address - Country:US
Practice Address - Phone:857-294-2958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-08
Last Update Date:2022-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty