Provider Demographics
NPI:1366496531
Name:LAYDON, CHRISTINA PIRRELLO (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:CHRISTINA
Middle Name:PIRRELLO
Last Name:LAYDON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 EAGLE DR
Mailing Address - Street 2:
Mailing Address - City:DOUGLAS
Mailing Address - State:MA
Mailing Address - Zip Code:01516-2355
Mailing Address - Country:US
Mailing Address - Phone:774-364-3052
Mailing Address - Fax:925-290-1276
Practice Address - Street 1:148 LINDEN ST
Practice Address - Street 2:SUITE 209
Practice Address - City:WELLESLEY
Practice Address - State:MA
Practice Address - Zip Code:02482-7900
Practice Address - Country:US
Practice Address - Phone:774-364-3052
Practice Address - Fax:925-290-1276
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1132121041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical