Healthcare Provider Details

I. General information

NPI: 1326977190
Provider Name (Legal Business Name): DINO MARC ERRICHETTO JR.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 CLINTON ST
EVERETT MA
02149-4674
US

IV. Provider business mailing address

70 CLINTON ST
EVERETT MA
02149-4674
US

V. Phone/Fax

Practice location:
  • Phone: 617-936-7187
  • Fax: 617-936-7187
Mailing address:
  • Phone: 617-936-7187
  • Fax: 617-986-7187

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175T00000X
TaxonomyPeer Specialist
License Number
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: