Healthcare Provider Details

I. General information

NPI: 1902540610
Provider Name (Legal Business Name): WILLIAM J SPEROS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/27/2022
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 ROESSLER RD
WOBURN MA
01801-6208
US

IV. Provider business mailing address

16 INDIAN HILL RD
WINCHESTER MA
01890-3428
US

V. Phone/Fax

Practice location:
  • Phone: 781-932-8114
  • Fax:
Mailing address:
  • Phone: 781-752-5237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10005162
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: