Active NPIIndividual providerSole proprietor

Dr. Elizabeth M Gagnon, PHD

Psychologist, Clinical in Boston, Massachusetts

NPI Number1558414060
Practice location
77 Franklin St, Suite 809, Boston, MA 02110-1510
Fax
617-451-0055
Last updated
September 22, 2016

Elizabeth Mainzer Gagnon is a Psychologist, Clinical based in Boston, MA. Elizabeth Mainzer Gagnon practices in Boston, MA and has the professional credentials of PHD. The NPI Number for Elizabeth Mainzer Gagnon is 1558414060 and holds a License No. 8186 (MA). The current practice location address for Elizabeth Mainzer Gagnon is 77 Franklin St, Suite 809, Boston, MA 02110-1510 and can be reached out via phone at 617-451-0055 and via fax at 617-451-0055.

Provider Profile Details

NPI Number
1558414060
Provider Name
Elizabeth Mainzer Gagnon
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
77 Franklin St, Suite 809, Boston, MA 02110-1510
Phone Number
617-451-0055
Fax Number
617-451-0055
Primary Taxonomy
Psychologist, Clinical · 103TC0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 19, 2007
Last Update Date
September 22, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
77 Franklin St
Suite 809
Boston, MA 02110-1510
City
Boston
Zip
02110-1510
Phone Number
617-451-0055
Fax Number
617-451-0055
Boston, MA 02110Get directions →

Provider Business Mailing Address Details

Address
77 Franklin St
Suite 809
Boston, MA 02110-1510
City
Boston
State
MA
Zip
02110-1510
Phone Number
617-451-0055
Fax Number
617-451-0055

License Information

License Number
8186
License State
MA
Taxonomy
Psychologist, Clinical · 103TC0700X · 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 Dr. Elizabeth M Gagnon, PHD?

The NPI number of Dr. Elizabeth M Gagnon, PHD is 1558414060. It was assigned on January 19, 2007 and is currently active in the NPPES registry.

What is the specialty of Dr. Elizabeth M Gagnon, PHD?

Dr. Elizabeth M Gagnon, PHD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X), licensed in MA under license number 8186.

Where does Dr. Elizabeth M Gagnon, PHD practice?

The practice location is 77 Franklin St, Suite 809, Boston, MA 02110-1510. The office can be reached at 617-451-0055 (phone) or 617-451-0055 (fax).

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 1558414060 directly on the NPPES registry website.

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