Provider Demographics
NPI:1366588410
Name:PIMENTAL, ANN (MSCJ, MSMHC)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:PIMENTAL
Suffix:
Gender:F
Credentials:MSCJ, MSMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 MAIN ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02324-1455
Mailing Address - Country:US
Mailing Address - Phone:508-697-2744
Mailing Address - Fax:508-697-2738
Practice Address - Street 1:63 MAIN ST
Practice Address - Street 2:SUITE 6
Practice Address - City:BRIDGEWATER
Practice Address - State:MA
Practice Address - Zip Code:02324-1455
Practice Address - Country:US
Practice Address - Phone:508-697-2744
Practice Address - Fax:508-697-2738
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor