| Doctor Name: | ELAINE L. MAHONEY |
| NPI Number: | 1053485474 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | RNC |
| License Number: | 184813 |
| Business Practice Address: | 206 Milford St Upton, MA - 015681309 |
| Business Phone Number: | 5085297000 |
| Business Fax Number: | 5085297024 |
| Mailing Address: | 2900 Providence Rd, NORTHBRIDGE |
| State: | MA |
| Postal Code: | 015341040 |
| Phone Number: | 5082347263 |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 184813 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |