Individual
DR. GAIL ANN RACICOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
EDD
Contact information
Practice address
250 BOSTON TURNPIKE, SHREWSBURY, MA 01545
(508) 752-7514
(508) 842-5676
Mailing address
PO BOX 541 MO, 250 BOSTON TURNPIKE, SHREWSBURY, MA 01545
(508) 752-7514
(508) 842-5676
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
4893
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
051464000
MAGELLAN
—
01
—
1000439
CIGNA
—
01
—
1017680
BEACON
—
01
—
1899147
UNISYS
—
05
—
1899147
—
MA
01
—
407804
BCBS RI
—
01
—
5124768401
UBH
—
01
—
732404
TUFTS
—
01
—
W04622
BCBS
—
Enumeration date
09/28/2006
Last updated
12/03/2011
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