IndividualActive
Jonathan Mendoza, MA
NPI 1679252837 · Drama Therapist · Somerville, MA
Provider details
- NPI number
- 1679252837
- Entity type
- Individual
- Primary specialty
- Drama TherapistBehavioral Health & Social Service Providers
- Credential
- MA
- Sex
- Male
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Mental Health Counselor101YM0800X
Behavioral Health & Social Service Providers
Practice location
218 Holland St
Somerville, MA 02144-2432
Phone: (617) 764-1997
Approximate (ZIP-level) locationGet directions
Mailing address
499 Sumner St
Stoughton, MA 02072-3433
Registry dates
- Enumerated
- 2023-07-14
- Last updated
- 2023-07-14
- Certified
- 2023-07-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.