Active NPIIndividual provider

Mrs. Ellen A Fortin, ED CEIS

Developmental Therapist in Mansfield, Massachusetts

NPI Number1144401407
Practice location
38 Marjac RD, Mansfield, MA 02048-3448
Fax
—
Last updated
November 15, 2007

Ellen A Fortin is a Developmental Therapist based in Mansfield, MA. Ellen A Fortin practices in Mansfield, MA and has the professional credentials of ED CEIS. The NPI Number for Ellen A Fortin is 1144401407. The current practice location address for Ellen A Fortin is 38 Marjac RD, Mansfield, MA 02048-3448 and can be reached out via phone at 508-339-9795.

Provider Profile Details

NPI Number
1144401407
Provider Name
Ellen A Fortin
Credential
ED CEIS
Provider Entity Type
Individual
Gender
Female
Address
38 Marjac RD, Mansfield, MA 02048-3448
Phone Number
508-339-9795
Primary Taxonomy
Developmental Therapist · 222Q00000X
Sole Proprietor
No
Provider Enumeration Date
November 15, 2007
Last Update Date
November 15, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
38 Marjac RD
Mansfield, MA 02048-3448
Zip
02048-3448
Phone Number
508-339-9795
Mansfield, MA 02048Get directions →

Provider Business Mailing Address Details

Address
38 Marjac RD
Mansfield, MA 02048-3448
City
Mansfield
State
MA
Zip
02048-3448
Phone Number
508-339-9795

License Information

Taxonomy
Developmental Therapist · 222Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Ellen A Fortin, ED CEIS?

The NPI number of Mrs. Ellen A Fortin, ED CEIS is 1144401407. It was assigned on November 15, 2007 and is currently active in the NPPES registry.

What is the specialty of Mrs. Ellen A Fortin, ED CEIS?

Mrs. Ellen A Fortin, ED CEIS is registered under the primary taxonomy Developmental Therapist (code 222Q00000X).

Where does Mrs. Ellen A Fortin, ED CEIS practice?

The practice location is 38 Marjac RD, Mansfield, MA 02048-3448. The office can be reached at 508-339-9795 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1144401407 directly on the NPPES registry website.

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