Individual
DR. ELAINE E FAUNCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH D
Contact information
Practice address
30 FEDERAL ST, STE 101, SALEM, MA 07920-3801
(978) 744-8070
(089) 744-8070
Mailing address
30 FEDERAL ST, STE 101, SALEM, MA 07920-3801
(978) 744-8070
(089) 744-8070
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3509
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1012860
FCH FALLON COM HLTH
—
01
—
459415000
MAGELLAN BCH
—
01
—
W03541
BC BS
MA
Enumeration date
11/07/2006
Last updated
08/12/2010
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