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Peter Moulton
NPI 1669952032 · on the registry since 2018 · sole proprietor
Practice
- Address
- 77 Rumford Ave
Waltham, MA 02453 - Phone
- (781) 894-4325
- Organisation at this address
- The Children'S Charter Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 77
Registry record
- Primary taxonomy
- Student in an Organized Health Care Education/Training Program
390200000X
- Also registered as
- Mental Health Counselor
- Licence states on file
- MA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-09-20
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts