Provider Demographics
NPI:1720296932
Name:COMTOIS, RITA JULIETTE (PHD)
Entity Type:Individual
Prefix:DR
First Name:RITA
Middle Name:JULIETTE
Last Name:COMTOIS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:11 ASH ST
Mailing Address - Street 2:
Mailing Address - City:AMESBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01913-3806
Mailing Address - Country:US
Mailing Address - Phone:978-388-9673
Mailing Address - Fax:978-388-8048
Practice Address - Street 1:11 ASH ST
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-3806
Practice Address - Country:US
Practice Address - Phone:978-388-9673
Practice Address - Fax:978-388-8048
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA7177103G00000X, 103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist
Not Answered103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool