Healthcare Provider Details

I. General information

NPI: 1376458406
Provider Name (Legal Business Name): MAXWELL JOSEPH GALIBOIS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/14/2026
Last Update Date: 08/14/2026
Certification Date: 08/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

233 NEEDHAM ST STE 300
NEWTON MA
02464-1502
US

IV. Provider business mailing address

30 RIPLEY ST APT 2
NEWTON MA
02459-2259
US

V. Phone/Fax

Practice location:
  • Phone: 617-830-4522
  • Fax:
Mailing address:
  • Phone: 508-245-0802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: