Rotolo, Nicholas Armand

Rotolo, Nicholas Armand is an sole proprietor health care provider with primary practice located at 20 Hope Ave Ste 107 , Waltham MA 02453-2717. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical Child & Adolescent. Behavioral Health & Social Service Providers / Psychologist is his primary health care specialty. Rotolo, Nicholas Armand can be contacted via phone (508) 847-9642.

Contact Information

Primary practice address
20 Hope Ave Ste 107 Waltham MA 02453-2717
Phone: (508) 847-9642
Fax: (781) 609-7408
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 10670 Massachusetts
Behavioral Health & Social Service Providers / Clinical Child & Adolescent 103TC2200X 10670 Massachusetts

Profile Details

NPI number 1932587078
LBN Legal business name Rotolo, Nicholas Armand
Credentials PSY.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2015
Last updated May 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932587078 NPPES
Massachusetts MEDICAID 1303619

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