Doctor Name: | DR. JANE LOISELLE CABOUR |
NPI Number: | 1003943622 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ED.D. |
License Number: | 4405 |
Business Practice Address: | 462 Boston St # 7 Topsfield, MA - 019831200 |
Business Phone Number: | 9783220511 |
Business Fax Number: | |
Mailing Address: | 462 Boston St # 7, TOPSFIELD |
State: | MA |
Postal Code: | 019831200 |
Phone Number: | 9783220511 |
Fax Number: | |
NPI Enumeration Date: | 02/28/2007 |
NPI Last Update Date: | 10/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TA0700X |
License Number: | 4405 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Adult Development & Aging |
Taxonomy Definition: |