| Doctor Name: | DR. THERESA LOUISE LAVOIE |
| NPI Number: | 1063469047 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 8088 |
| Business Practice Address: | 790 Turnpike St Suite 106 North Andover, MA - 018456144 |
| Business Phone Number: | 9786836065 |
| Business Fax Number: | |
| Mailing Address: | 190 Mill Rd, NORTH ANDOVER |
| State: | MA |
| Postal Code: | 018455515 |
| Phone Number: | 6177338845 |
| Fax Number: | |
| NPI Enumeration Date: | 05/27/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 8088 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |