Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 103TA0700X | Adult Development & Aging Psychologist | 3458 | MA |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 3458 | MA |
N | 103G00000X | Clinical Psychologist | 3458 | MA |
N | 103TC0700X | Clinical Psychologist | 3458 | MA |
Y | 103TC1900X | Counseling Psychologist | 3458 | MA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 3458 | MA |
N | 103TE1100X | Exercise & Sports Psychologist | 3458 | MA |
N | 103TF0000X | Family Psychologist | 3458 | MA |
N | 103TH0100X | Health Service | 3458 | MA |
N | 103TM1800X | Intellectual & Developmental Disabilities | 3458 | MA |
N | 103TP0814X | Psychoanalysis | 3458 | MA |
N | 103TP2701X | Group Psychotherapist | 3458 | MA |
N | 103TR0400X | Rehabilitation Psychologist | 3458 | MA |
NPI | 1811056468 |
---|---|
Provider Name | Dr. Francis Clouse |
First Address | Merrimac, MA 01860-2229 |
Second Address | Lawrence, MA 01840-1866 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 08/12/2006 |
Last Update Date | 01/08/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0513903 | (05) | MA |