Cavanaugh, Jeanette Mary
Cavanaugh, Jeanette Mary is an sole proprietor health care provider with primary practice located at 599 Canal St 4 East - 17, Lawrence MA 01840-1244. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Cavanaugh, Jeanette Mary can be contacted via phone (978) 685-8951.Contact Information
Primary practice address
599 Canal St 4 East - 17
Lawrence MA 01840-1244
Phone: (978) 685-8951
Fax: (978) 639-5404
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 107878 | Massachusetts |
Profile Details
| NPI number | 1356471437 |
|---|---|
| LBN Legal business name | Cavanaugh, Jeanette Mary |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 9th, 2007 - about 19 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1356471437 | NPPES |
| Massachusetts | MEDICAID | 1890123 |
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