Provider Demographics
NPI:1154007557
Name:JOHN P. GIORDANO, JR. INC.
Entity type:Organization
Organization Name:JOHN P. GIORDANO, JR. INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO AND FOUNDER
Authorized Official - Prefix:MR
Authorized Official - First Name:JOHN
Authorized Official - Middle Name:PAUL
Authorized Official - Last Name:GIORDANO
Authorized Official - Suffix:JR
Authorized Official - Credentials:LMHC
Authorized Official - Phone:617-835-3811
Mailing Address - Street 1:PO BOX 7059
Mailing Address - Street 2:
Mailing Address - City:WAVERLY
Mailing Address - State:MA
Mailing Address - Zip Code:02479-0015
Mailing Address - Country:US
Mailing Address - Phone:617-835-3811
Mailing Address - Fax:617-977-9874
Practice Address - Street 1:8 DONNA LN
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:MA
Practice Address - Zip Code:01803-1211
Practice Address - Country:US
Practice Address - Phone:161-783-5381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty