Fennell, Louise C.P.

Fennell, Louise C.P. is an sole proprietor health care provider with primary practice located at 8 Cedar St Ste 43 , Woburn MA 01801-6362. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fennell, Louise C.P. can be contacted via phone (781) 538-5193.

Contact Information

Primary practice address
8 Cedar St Ste 43 Woburn MA 01801-6362
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-877 Hawaii

Profile Details

NPI number 1942397914
LBN Legal business name Fennell, Louise C.P.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 9th, 2006
Last updated Sep 30th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1942397914 NPPES
Hawaii Other 2356137 UHA
Hawaii Other 0000250936 UHA
Hawaii MEDICAID 56033501 UHA

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