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Individual

DR. JANE LOISELLE CABOUR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ED.D.

Contact information

Practice address
462 BOSTON ST # 7, TOPSFIELD, MA 01983-1200
(978) 322-0511
Mailing address
462 BOSTON ST # 7, TOPSFIELD, MA 01983-1200
(978) 322-0511

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4405
MA
103TA0700X
Adult Development & Aging Psychologist
4405
MA
103TC1900X
Counseling Psychologist
4405
MA
103TC2200X
Clinical Child & Adolescent Psychologist
4405
MA
103TF0000X
Family Psychologist
4405
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
253641
PACIFICARE
MA
01
456445
TUFTS HEALTH PLAN
MA
01
45707500
MAGELLAN BCBS
MA
01
7545085
AETNA
MA
01
W04431
BCBS
MA
Enumeration date
02/28/2007
Last updated
10/15/2014
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