Provider Demographics
NPI:1871253450
Name:RICHARDS, JOSHUA WILLIAM
Entity Type:Individual
Prefix:
First Name:JOSHUA
Middle Name:WILLIAM
Last Name:RICHARDS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 839
Mailing Address - Street 2:
Mailing Address - City:WEST FALMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02574-0839
Mailing Address - Country:US
Mailing Address - Phone:508-540-1554
Mailing Address - Fax:
Practice Address - Street 1:558 WEST FALMOUTH HWY
Practice Address - Street 2:
Practice Address - City:WEST FALMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02574-0839
Practice Address - Country:US
Practice Address - Phone:508-540-1554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-12-23
Last Update Date:2021-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)