Provider Demographics
NPI:1659103299
Name:FARINOLI, ALICIA JULIA
Entity type:Individual
Prefix:MS
First Name:ALICIA
Middle Name:JULIA
Last Name:FARINOLI
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ALICIA
Other - Middle Name:JULIA
Other - Last Name:GROVER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:205 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:GARDNER
Mailing Address - State:MA
Mailing Address - Zip Code:01440-2781
Mailing Address - Country:US
Mailing Address - Phone:978-488-8888
Mailing Address - Fax:978-632-6083
Practice Address - Street 1:205 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-2781
Practice Address - Country:US
Practice Address - Phone:978-488-8888
Practice Address - Fax:978-632-6083
Is Sole Proprietor?:No
Enumeration Date:2024-08-14
Last Update Date:2024-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor