Provider Demographics
NPI:1922293901
Name:JOSEPH, STARRY ANNA (MS)
Entity Type:Individual
Prefix:
First Name:STARRY
Middle Name:ANNA
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 RANTOUL ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BEVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:01915-4885
Mailing Address - Country:US
Mailing Address - Phone:978-927-9410
Mailing Address - Fax:978-922-6141
Practice Address - Street 1:7 RANTOUL ST
Practice Address - Street 2:SUITE 200
Practice Address - City:BEVERLY
Practice Address - State:MA
Practice Address - Zip Code:01915-4885
Practice Address - Country:US
Practice Address - Phone:978-927-9410
Practice Address - Fax:978-922-6141
Is Sole Proprietor?:No
Enumeration Date:2007-09-12
Last Update Date:2008-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor