Elizabeth Mainzer Gagnon in Boston - Clinical
Elizabeth Mainzer Gagnon - NPI 1558414060
Elizabeth Mainzer Gagnon is a Clinical in Boston, Massachusetts. Elizabeth Mainzer Gagnon practices all healthcare services and medical treatments related to Clinical. The NPI Number for Elizabeth Mainzer Gagnon is 1558414060. The last update date is 2016-09-22.
Elizabeth Mainzer Gagnon's current location address is 77 Franklin St, Boston, Massachusetts. You can contact this provider via phone number 6174510055 and fax number 6174510055. The mailing address for Elizabeth Mainzer Gagnon is 77 Franklin St, Boston, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Elizabeth Mainzer Gagnon |
|---|---|
| Address | 77 Franklin St, Boston, Massachusetts |
| Phone Number | 6174510055 |
| Fax Number | 6174510055 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1558414060 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2016-09-22 |
Provider Mailing Address Detail
| Address | 77 Franklin St |
|---|---|
| City | Boston |
| State | Massachusetts (MA) |
| Post Code | 21101510 |
| Phone Number | 6174510055 |
| Fax Number | 6174510055 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 8186 |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| W06313 | MA | BLUE CROSS BLUE SHIELD |
Post Comment/ Review Below
What is the Elizabeth Mainzer Gagnon's unique identification number?
The Elizabeth Mainzer Gagnon has been assigned the NPI (National Provider Identifier) Number 1558414060 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Elizabeth Mainzer Gagnon is physically located?
The Elizabeth Mainzer Gagnon is physically situated at the following address: 77 Franklin St, Boston, MA, 21101510.
What is Elizabeth Mainzer Gagnon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Elizabeth Mainzer Gagnon is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date did the Elizabeth Mainzer Gagnon receive the assignment of its 1558414060 from the Centers for Medicare & Medicaid Services?
The Elizabeth Mainzer Gagnon was issued its 1558414060 by the Centers for Medicare & Medicaid Services on 2007-01-19.
As of what date were the details related to Elizabeth Mainzer Gagnon most recently updated or revised?
The information pertaining to Elizabeth Mainzer Gagnon, including its address, specialty, and other relevant details, was last updated or revised on 2016-09-22.