Provider Demographics
NPI:1912415662
Name:JOHNSON-STUDSTILL, THERESA D (MA)
Entity Type:Individual
Prefix:
First Name:THERESA
Middle Name:D
Last Name:JOHNSON-STUDSTILL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:THERESA
Other - Middle Name:D
Other - Last Name:MARSHALL JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 SOUTHWICK ST
Mailing Address - Street 2:
Mailing Address - City:FEEDING HILLS
Mailing Address - State:MA
Mailing Address - Zip Code:01030-2024
Mailing Address - Country:US
Mailing Address - Phone:413-786-6410
Mailing Address - Fax:413-789-9623
Practice Address - Street 1:30 SOUTHWICK ST
Practice Address - Street 2:
Practice Address - City:FEEDING HILLS
Practice Address - State:MA
Practice Address - Zip Code:01030-2024
Practice Address - Country:US
Practice Address - Phone:413-786-6410
Practice Address - Fax:413-789-9623
Is Sole Proprietor?:No
Enumeration Date:2018-01-16
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor