Provider Demographics
NPI:1689727034
Name:MAHONEY, BENJAMIN FRANCIS (MASTER OF SOCIAL WOR)
Entity Type:Individual
Prefix:
First Name:BENJAMIN
Middle Name:FRANCIS
Last Name:MAHONEY
Suffix:
Gender:M
Credentials:MASTER OF SOCIAL WOR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 PLYMPTON ST 3N
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02745
Mailing Address - Country:US
Mailing Address - Phone:508-982-2275
Mailing Address - Fax:
Practice Address - Street 1:1563 N MAIN STREET
Practice Address - Street 2:MA 02720 SUITE 208
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720
Practice Address - Country:US
Practice Address - Phone:508-324-1060
Practice Address - Fax:508-672-3619
Is Sole Proprietor?:No
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health