PATRICE FONG
NPI 1104343615
Counselor - School in Braintree, MA
Active since August 25, 2017
About Patrice Fong NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PATRICE FONG (NPI 1104343615) is an individual school provider in Braintree, Massachusetts, licensed in Massachusetts (3475897) and active in the NPI registry since August 2017. She maintains a secondary practice location in Weymouth.
NPPES Registry Identity
NPI1104343615
Entity TypeIndividualFemale
Primary Taxonomy101YS0200X
Provider Legal NamePATRICE FONG
Location Address400 WASHINGTON ST STE 106Braintree, MA 02184-4764
Mailing Address237 Lake St Unit CWeymouth, MA 02189-1253
Phone(781) 817-6386
Sole ProprietorYes
Enumeration DateAugust 25, 2017
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1104343615 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · SchoolBehavioral Health & Social Service Providers
Taxonomy Code101YS0200X
License✔ Licensed in MA · 3475897
400 WASHINGTON ST STE 106, Braintree, MA 02184
Secondary Practice Location 1
Location 1237 Lake St Unit CWeymouth, MA 02189-1253 · Phone (781) 337-8725
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104343615, enumerated as an "individual" on August 25, 2017.
The provider is located at 400 WASHINGTON ST STE 106 BRAINTREE, MA 02184 and the phone number is (781) 817-6386.
Counselor with taxonomy code 101YS0200X and a focus in School.