Provider Demographics
NPI:1427199900
Name:TOMASELLO, ALLEN JOSEPH (BCABA)
Entity Type:Individual
Prefix:MR
First Name:ALLEN
Middle Name:JOSEPH
Last Name:TOMASELLO
Suffix:
Gender:M
Credentials:BCABA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:234 TURNER RD
Mailing Address - Street 2:
Mailing Address - City:BREMEN
Mailing Address - State:ME
Mailing Address - Zip Code:04551-3327
Mailing Address - Country:US
Mailing Address - Phone:207-529-2227
Mailing Address - Fax:207-529-2227
Practice Address - Street 1:234 TURNER RD
Practice Address - Street 2:
Practice Address - City:BREMEN
Practice Address - State:ME
Practice Address - Zip Code:04551-3327
Practice Address - Country:US
Practice Address - Phone:207-529-2227
Practice Address - Fax:207-529-2227
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor