Provider Demographics
NPI:1336635358
Name:PARTON-LOPES, TERESA DIANE
Entity Type:Individual
Prefix:
First Name:TERESA
Middle Name:DIANE
Last Name:PARTON-LOPES
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 1:260 GRANBY RD
Mailing Address - Street 2:
Mailing Address - City:BELCHERTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:01007-9634
Mailing Address - Country:US
Mailing Address - Phone:413-687-5741
Mailing Address - Fax:
Practice Address - Street 1:1515 STATE ST
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:MA
Practice Address - Zip Code:01109-2536
Practice Address - Country:US
Practice Address - Phone:413-732-1586
Practice Address - Fax:413-732-7092
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-02
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1170701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical