Provider Demographics
NPI:1477761815
Name:CIOCCHETTI, TROY (MA)
Entity Type:Individual
Prefix:MR
First Name:TROY
Middle Name:
Last Name:CIOCCHETTI
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 1:12740 HILLCREST RD
Mailing Address - Street 2:STE. 145
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75230-2038
Mailing Address - Country:US
Mailing Address - Phone:972-233-0721
Mailing Address - Fax:972-233-0751
Practice Address - Street 1:12740 HILLCREST RD
Practice Address - Street 2:STE. 145
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75230-2038
Practice Address - Country:US
Practice Address - Phone:972-233-0721
Practice Address - Fax:972-233-0751
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor