Provider Demographics
NPI:1417691296
Name:TEPERINO, PAMELA SILVANA
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:SILVANA
Last Name:TEPERINO
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 1:129 HUNT HILL RD
Mailing Address - Street 2:
Mailing Address - City:RINDGE
Mailing Address - State:NH
Mailing Address - Zip Code:03461-5620
Mailing Address - Country:US
Mailing Address - Phone:978-751-1970
Mailing Address - Fax:
Practice Address - Street 1:129 HUNT HILL RD
Practice Address - Street 2:
Practice Address - City:RINDGE
Practice Address - State:NH
Practice Address - Zip Code:03461-5620
Practice Address - Country:US
Practice Address - Phone:978-751-1970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician