MS. ELIZABETH M SOUFFRONT (NPI# 1720029085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1720029085 |
Entity Type | Individual |
Full Name | MS. ELIZABETH M SOUFFRONT |
Credential | PHD |
Practice Address |
100 Ledgewood Pl Suite 202 Rockland MA 02370-1075 |
Mailing Address |
37 Phipps St Quincy MA 02169-6625 |
Practice Telephone | 7818716550 |
Practice Fax Number | 7818715973 |
Mailing Telephone | 6174790520 |
Enumeration Date | 2006-06-09 |
Last Update Date | 2007-07-08 |
Gender Code | F |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
7646 | MA | Behavioral Health & Social Service Providers |
Street Address |
100 LEDGEWOOD PL SUITE 202 |
City | ROCKLAND |
State | MA |
Zip Code | 02370-1075 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699083113 | Lindsay D. Butters | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2010-09-17 |
1932437753 | Tracy Leigh Larson-benvenuti | Social Worker | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2009-12-07 |
1518190966 | Dru Katherine Carver-brown | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2009-09-02 |
1629202395 | Janet Hazel Doney-elfadel | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2009-05-11 |
1144460601 | Laura Margaret Morgan | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2009-02-24 |
1154561611 | Gayle Marie Clark | Social Worker | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2009-02-24 |
1366680258 | Linda May Mazak | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2009-01-30 |
1588819528 | Jodi Comeau | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2008-11-18 |
1225288996 | Barbara Moore | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2008-09-30 |
1700036365 | Anthony Mazzaglia | Counselor | 100 Ledgewood Pl, Suite 202, Rockland, MA 02370-1075 | 2008-09-19 |
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1336272699 | James S Chrzan | Podiatrist | 28 Pacific St., Rockland, MA 02370 | 2007-03-14 |
1639221567 | Jacobs and Jacobs Dentists PC | Dentist | 27 Market St, Rockland, MA 02370 | 2007-01-18 |
1649358193 | Boston Podiatry Services PC | Podiatrist | 28 Pacific St, Rockland, MA 02370 | 2006-11-01 |
1659464501 | Cheryl L Kessel | Social Worker | 100 Ledgewoo Pl, Rockland, MA 02370 | 2006-10-02 |
1366470775 | Nancy H Starr | Dentist | 502 Union St, Rockland, MA 02370 | 2006-06-28 |
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1538356274 | Heather Marie Mulcahey | Occupational Therapist | 140 Union St, Rockland, MA 02370 | 2007-09-26 |
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Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
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1326250812 | Susan C. Righthand | Psychologist | 120 Tillson Ave., Rockland, ME 04841 | 2007-05-04 |
1326032038 | Robert Azrak | Psychologist | 48 Stanton St, Rockland, MA 02370-1824 | 2005-09-08 |
1972824134 | Rebecca E. Eilers | Psychologist | 91 Camden St, Suite 304, Rockland, ME 04841-2455 | 2010-06-22 |
1841418431 | Brian Stahl | Psychologist | 120 Tillson Ave, Rockland, ME 04841-3451 | 2007-04-22 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.