Healthcare Provider Details

I. General information

NPI: 1215841580
Provider Name (Legal Business Name): PIA LOUSTAU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/01/2026
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10I ROESSLER RD
WOBURN MA
01801-6208
US

IV. Provider business mailing address

66 NEWPORT ST
ARLINGTON MA
02476-7828
US

V. Phone/Fax

Practice location:
  • Phone: 781-932-8114
  • Fax:
Mailing address:
  • Phone: 610-999-6182
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: