Provider Demographics
NPI:1386828507
Name:MALETTO, THOMAS P (PC)
Entity Type:Individual
Prefix:MR
First Name:THOMAS
Middle Name:P
Last Name:MALETTO
Suffix:
Gender:M
Credentials:PC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:CAPE MAY COURT HOUSE
Mailing Address - State:NJ
Mailing Address - Zip Code:08210-2240
Mailing Address - Country:US
Mailing Address - Phone:609-465-7788
Mailing Address - Fax:609-465-2005
Practice Address - Street 1:223 S MAIN ST
Practice Address - Street 2:
Practice Address - City:CAPE MAY COURT HOUSE
Practice Address - State:NJ
Practice Address - Zip Code:08210-2240
Practice Address - Country:US
Practice Address - Phone:609-465-7788
Practice Address - Fax:609-465-2005
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-24
Last Update Date:2007-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00173400101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional