Provider Demographics
NPI:1720172984
Name:CIARAMICOLI, ARTHUR (EDD PHD)
Entity Type:Individual
Prefix:
First Name:ARTHUR
Middle Name:
Last Name:CIARAMICOLI
Suffix:
Gender:M
Credentials:EDD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BENSON RD
Mailing Address - Street 2:
Mailing Address - City:HOPKINTON
Mailing Address - State:MA
Mailing Address - Zip Code:01748-2538
Mailing Address - Country:US
Mailing Address - Phone:508-435-9535
Mailing Address - Fax:
Practice Address - Street 1:6 BENSON RD
Practice Address - Street 2:
Practice Address - City:HOPKINTON
Practice Address - State:MA
Practice Address - Zip Code:01748-2538
Practice Address - Country:US
Practice Address - Phone:508-435-9535
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2091103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAW02266OtherBC/BS
MA716853OtherTUFTS