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Contact Information

JONATHAN MENDOZA, MA
218 HOLLAND ST
SOMERVILLE, MA02144-2432
 Phone: 617-764-1997
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Drama Therapist

101200000X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for JONATHAN MENDOZA · (Male)

NPI Number 1679252837
Status Active
Credentials MA
Entity Individual
Enumeration date 07/14/2023
Last updated 07/14/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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