Provider Demographics
NPI:1942970090
Name:TARANTO, MELISSA (FPHW)
Entity Type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:TARANTO
Suffix:
Gender:F
Credentials:FPHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 CAPE RD
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01757-3292
Mailing Address - Country:US
Mailing Address - Phone:508-270-5749
Mailing Address - Fax:508-634-3713
Practice Address - Street 1:42 CAPE RD
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:MA
Practice Address - Zip Code:01757-3292
Practice Address - Country:US
Practice Address - Phone:508-270-5749
Practice Address - Fax:508-634-3713
Is Sole Proprietor?:No
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor