Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PEYTON RYLEY PROVENCHER
Active Sole ProprietorPEYTON RYLEY PROVENCHER is a Community/Behavioral Health healthcare provider located in WOBURN, Massachusetts. NPI 1245833409 is currently active in the NPPES registry. Verify at CMS.
Community/Behavioral Health · WOBURN, MA
Registration Details
- NPI Number
- 1245833409
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Nov 19, 2020 (5.5483833873895 yrs)
- Last Updated
- Nov 19, 2020
- Sole Proprietor
- Yes
Practice Information
- Address
-
5 CONSTITUTION WAY STE 6WOBURN, MA, 018011199Browse MA providers · Browse ZIP 01801
- Phone
- 8887540398
- Primary Specialty
-
Community/Behavioral Health
251S00000X
Other Community/Behavioral Health Providers in WOBURN, MA
| Name | Credential | NPI |
|---|---|---|
| KRISTEL CARIAS | M.ED, LSW | 1780378331 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.