Provider Demographics
NPI:1568209039
Name:OUELLETTE, ERIC (MA, BS)
Entity type:Individual
Prefix:
First Name:ERIC
Middle Name:
Last Name:OUELLETTE
Suffix:
Gender:M
Credentials:MA, BS
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Other - Last Name:
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Mailing Address - Street 1:21 KINROSS RD
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-7275
Mailing Address - Country:US
Mailing Address - Phone:978-857-7664
Mailing Address - Fax:
Practice Address - Street 1:111 SPEEN STREET FRAMINGHAM
Practice Address - Street 2:
Practice Address - City:FRAMINGHAM
Practice Address - State:MA
Practice Address - Zip Code:01710
Practice Address - Country:US
Practice Address - Phone:508-290-5161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-11
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist
No225A00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMusic Therapist