Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 102L00000X | Psychologist | 4405 | MA |
Y | 103T00000X | Psychologist | 4405 | MA |
N | 103TA0700X | Adult Development & Aging Psychologist | 4405 | MA |
N | 103TC1900X | Counseling Psychologist | 4405 | MA |
N | 103TC2200X | Clinical Child & Adolescent Psychologist | 4405 | MA |
N | 103TF0000X | Family Psychologist | 4405 | MA |
NPI | 1003943622 |
---|---|
Provider Name | Dr. Jane Loiselle Cabour |
First Address | Topsfield, MA 01983-1200 |
Second Address | Topsfield, MA 01983-1200 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 15/10/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
253641 | PACIFICARE (01) | MA |
456445 | TUFTS HEALTH PLAN (01) | MA |
45707500 | MAGELLAN BCBS (01) | MA |
7545085 | AETNA (01) | MA |
W04431 | BCBS (01) | MA |