Provider Demographics
NPI:1386940526
Name:MAY, THEODORE JOHN III
Entity type:Individual
Prefix:MR
First Name:THEODORE
Middle Name:JOHN
Last Name:MAY
Suffix:III
Gender:M
Credentials:
Other - Prefix:
Other - First Name:T.J.
Other - Middle Name:
Other - Last Name:MAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:49 CHERRY ST
Mailing Address - Street 2:
Mailing Address - City:HUDSON
Mailing Address - State:MA
Mailing Address - Zip Code:01749-2813
Mailing Address - Country:US
Mailing Address - Phone:860-682-2054
Mailing Address - Fax:
Practice Address - Street 1:49 CHERRY ST
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:MA
Practice Address - Zip Code:01749-2813
Practice Address - Country:US
Practice Address - Phone:860-682-2054
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-07
Last Update Date:2011-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst