Provider Demographics
NPI:1104698836
Name:PUNT, SAMANTHA (CMHC)
Entity type:Individual
Prefix:MS
First Name:SAMANTHA
Middle Name:
Last Name:PUNT
Suffix:
Gender:F
Credentials:CMHC
Other - Prefix:
Other - First Name:SAM
Other - Middle Name:
Other - Last Name:PUNT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:109 OAK ST STE 201
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02464-1493
Mailing Address - Country:US
Mailing Address - Phone:860-543-3473
Mailing Address - Fax:
Practice Address - Street 1:12 1/2 EAST STREET
Practice Address - Street 2:
Practice Address - City:NORTH GRAFTON
Practice Address - State:MA
Practice Address - Zip Code:01536-1816
Practice Address - Country:US
Practice Address - Phone:860-543-3473
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-25
Last Update Date:2023-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health