Provider Demographics
NPI:1396488557
Name:MUBIITO, RONALD
Entity type:Individual
Prefix:MR
First Name:RONALD
Middle Name:
Last Name:MUBIITO
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BOSTON ROAD
Mailing Address - Street 2:SUITE 201
Mailing Address - City:CHELMSFORD
Mailing Address - State:MA
Mailing Address - Zip Code:01824
Mailing Address - Country:US
Mailing Address - Phone:603-461-0741
Mailing Address - Fax:
Practice Address - Street 1:6 BOSTON ROAD
Practice Address - Street 2:SUITE 201
Practice Address - City:CHELMSFORD
Practice Address - State:MA
Practice Address - Zip Code:01824
Practice Address - Country:US
Practice Address - Phone:603-461-0741
Practice Address - Fax:978-677-6456
Is Sole Proprietor?:No
Enumeration Date:2022-04-15
Last Update Date:2022-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health