Provider Demographics
NPI:1609149947
Name:NORTON, APHRODITE CONSTANTINE
Entity Type:Individual
Prefix:
First Name:APHRODITE
Middle Name:CONSTANTINE
Last Name:NORTON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:APHRODITE
Other - Middle Name:CONSTANTINE
Other - Last Name:MISSIOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:117 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-3119
Mailing Address - Country:US
Mailing Address - Phone:774-212-2327
Mailing Address - Fax:
Practice Address - Street 1:117 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SOUTH YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-3119
Practice Address - Country:US
Practice Address - Phone:774-212-2327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-16
Last Update Date:2012-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional