Provider Demographics
NPI:1922881192
Name:MALLOZZI, JOANNE MARIE (BSED, MAED, MAED O)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:MARIE
Last Name:MALLOZZI
Suffix:
Gender:F
Credentials:BSED, MAED, MAED O
Other - Prefix:
Other - First Name:JOANNE
Other - Middle Name:MARIE
Other - Last Name:DUDDY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:THOM CHILD AND FAMILY SERVICES 340 MAPLE ST. SUITE 203
Mailing Address - Street 2:
Mailing Address - City:MARLBORUGH
Mailing Address - State:MA
Mailing Address - Zip Code:01752
Mailing Address - Country:US
Mailing Address - Phone:508-624-0304
Mailing Address - Fax:508-624-0391
Practice Address - Street 1:THOM CHILD AND FAMILY SERVICES 340 MAPLE ST. SUITE 203
Practice Address - Street 2:
Practice Address - City:MARLBORUGH
Practice Address - State:MA
Practice Address - Zip Code:01752
Practice Address - Country:US
Practice Address - Phone:508-624-0304
Practice Address - Fax:508-624-0391
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-14
Last Update Date:2023-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist