Healthcare Provider Details

I. General information

NPI: 1821061193
Provider Name (Legal Business Name): DR PETER E YAFFE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

327D BOSTON POST RD WAYSIDE COUNSELING ASSOCIATES
SUDBURY MA
01776-3001
US

IV. Provider business mailing address

327D BOSTON POST RD WAYSIDE COUNSELING ASSOCIATES
SUDBURY MA
01776-3001
US

V. Phone/Fax

Practice location:
  • Phone: 978-443-4262
  • Fax: 978-443-4262
Mailing address:
  • Phone: 978-443-4262
  • Fax: 978-443-4262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name: PETER ELLIOT YAFFE
Title or Position: OWNER PRESIDENT
Credential: PHD
Phone: 978-443-4262