Provider Demographics
NPI:1558258830
Name:MAZZOLA, STEPHEN II
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:
Last Name:MAZZOLA
Suffix:II
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 1:257 CROSS ST
Mailing Address - Street 2:
Mailing Address - City:WINCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01890-1142
Mailing Address - Country:US
Mailing Address - Phone:781-454-7617
Mailing Address - Fax:781-454-7617
Practice Address - Street 1:5 MARKET SQ
Practice Address - Street 2:
Practice Address - City:AMESBURY
Practice Address - State:MA
Practice Address - Zip Code:01913-2497
Practice Address - Country:US
Practice Address - Phone:413-238-1088
Practice Address - Fax:978-388-0006
Is Sole Proprietor?:No
Enumeration Date:2025-06-19
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health