Provider Demographics
NPI:1841612702
Name:FALTAS, MOHEB
Entity type:Individual
Prefix:
First Name:MOHEB
Middle Name:
Last Name:FALTAS
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 1:34 UNION ST
Mailing Address - Street 2:
Mailing Address - City:NORTH ANDOVER
Mailing Address - State:MA
Mailing Address - Zip Code:01845-3424
Mailing Address - Country:US
Mailing Address - Phone:508-405-6812
Mailing Address - Fax:
Practice Address - Street 1:11 UNION ST
Practice Address - Street 2:THE PSYCHOLOGICAL CENTER
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01840
Practice Address - Country:US
Practice Address - Phone:978-685-1337
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-01-13
Last Update Date:2014-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health