Provider Demographics
NPI:1922329275
Name:D'ANGELO, STEVEN LOUIS (MA)
Entity Type:Individual
Prefix:MR
First Name:STEVEN
Middle Name:LOUIS
Last Name:D'ANGELO
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 1:30 SHADY LANE AVE
Mailing Address - Street 2:
Mailing Address - City:NORTHBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01532-1729
Mailing Address - Country:US
Mailing Address - Phone:508-393-7143
Mailing Address - Fax:
Practice Address - Street 1:11 DEPOT SQ
Practice Address - Street 2:ADVOCATES, INC.
Practice Address - City:AYER
Practice Address - State:MA
Practice Address - Zip Code:01432-1372
Practice Address - Country:US
Practice Address - Phone:978-772-1846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-21
Last Update Date:2010-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health