Provider Demographics
NPI:1417265935
Name:TRABUCCO, JOSEPH (MA)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:TRABUCCO
Suffix:
Gender:M
Credentials:MA
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 1155
Mailing Address - Street 2:
Mailing Address - City:WEST CHATHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02669-1155
Mailing Address - Country:US
Mailing Address - Phone:508-246-4679
Mailing Address - Fax:
Practice Address - Street 1:700 MAIN STREET
Practice Address - Street 2:COMMUNITY CARE SERVICES
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780
Practice Address - Country:US
Practice Address - Phone:508-821-7777
Practice Address - Fax:508-822-5595
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-17
Last Update Date:2010-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health