Provider Demographics
NPI:1699924340
Name:FERLATTE, JOSEPH
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:FERLATTE
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 1:3715 HILLSBOROUGH DR
Mailing Address - Street 2:
Mailing Address - City:CONCORD
Mailing Address - State:CA
Mailing Address - Zip Code:94520-1350
Mailing Address - Country:US
Mailing Address - Phone:510-290-4829
Mailing Address - Fax:415-861-0257
Practice Address - Street 1:3715 HILLSBOROUGH DR
Practice Address - Street 2:
Practice Address - City:CONCORD
Practice Address - State:CA
Practice Address - Zip Code:94520-1350
Practice Address - Country:US
Practice Address - Phone:510-290-4829
Practice Address - Fax:415-861-0257
Is Sole Proprietor?:No
Enumeration Date:2008-09-17
Last Update Date:2020-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool