Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Peter Jerome Moulton

Individual provider Mental Health Counselor · NPI 1669952032

Peter Jerome Moulton is a Mental Health Counselor in Waltham, Massachusetts. Practices as a sole proprietor. Licensed in Massachusetts.

Licensed in
MA
In the registry since
2018
Specialties on file
2

Practice location Address checks out

77 Rumford Ave
Waltham, MA 02453-3872
Phone: (781) 894-4325
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X
Mental Health Counselor Taxonomy 101YM0800X (MA)

Record details

NPI number1669952032
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedAugust 15, 2018
Last updated in NPPESSeptember 20, 2019
Mailing address77 Rumford Ave, Waltham, MA 02453-3872

Other providers in Waltham