Doctor Name: | GAIL S. CHARPENTIER |
NPI Number: | 1073566790 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC |
License Number: | 1067 |
Business Practice Address: | 111 Grossman Dr Braintree, MA - 021844997 |
Business Phone Number: | 7818492275 |
Business Fax Number: | |
Mailing Address: | 147 Milk St, Provider Enrollment 9th Floor BOSTON |
State: | MA |
Postal Code: | 021094806 |
Phone Number: | 6175598051 |
Fax Number: | |
NPI Enumeration Date: | 05/17/2006 |
NPI Last Update Date: | 04/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 1067 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |