Provider Demographics
NPI:1023465689
Name:MOLYNEAUX, JOSHUA RICHARD
Entity type:Individual
Prefix:
First Name:JOSHUA
Middle Name:RICHARD
Last Name:MOLYNEAUX
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 1:23 MARCUS RD
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-2417
Mailing Address - Country:US
Mailing Address - Phone:781-801-5416
Mailing Address - Fax:
Practice Address - Street 1:23 MARCUS RD
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-2417
Practice Address - Country:US
Practice Address - Phone:781-801-5416
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-24
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker