Individual
DR. LOUISE C.P. FENNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
8 CEDAR ST STE 43, WOBURN, MA 01801-6362
(781) 538-5193
Mailing address
8 CEDAR ST STE 43, WOBURN, MA 01801-6362
(781) 538-5193
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY-877
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000250936
HMSA
HI
01
—
2356137
UHA
HI
05
—
56033501
—
HI
Enumeration date
10/09/2006
Last updated
09/30/2008
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