Provider Demographics
NPI:1407087026
Name:BASTONI, DEBORAH SEARS (LMHC)
Entity Type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:SEARS
Last Name:BASTONI
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 70323
Mailing Address - Street 2:
Mailing Address - City:N. DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02747
Mailing Address - Country:US
Mailing Address - Phone:508-996-1818
Mailing Address - Fax:
Practice Address - Street 1:668 STATE ROAD
Practice Address - Street 2:
Practice Address - City:N. DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02747
Practice Address - Country:US
Practice Address - Phone:508-996-1818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-30
Last Update Date:2009-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3865101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health